Reabilitação oral de paciente portador de deformidade orofacial ocasionada por neoplasia maligna

Abstract

Brazil has the third biggest incidence of oral cavity cancer in the world. The malignant neoplasms, which attack head and neck region, have many treatment proposals, according to the tumor injury severity, medical history and patient age. When affecting maxilla they are typically treated through maxillectomy, which means partial or total maxilla removal. This procedure results in surgical defect that leads to oroantral communication. The rehabilitation of these patients can be done through prosthetic means with very good results, allowing adequate swallowing and speech condition and ensuring a better life quality and social reintegration for the surgery after-effects carriers as well. The objective of this work is to describe an oral rehabilitation case, installing an obturator conventional totally removable prosthesis, in a female patient at age of 69, who was diagnosed with squamous cell carcinoma moderately differentiated in the maxillary sinus region that extended to the vicinity areas (eyeball, zygomatic and palate), who was previously surgical treated with unilateral maxillectomy, even though without surgical reconstruction of the resulting defect. For patients with tumor injury clinical history, the techniques and molding material choice, as well as the surgical area neighboring tissues integrity care, require special attention and judicious procedure. The prosthesis allowed not only the function recovery, but also, the esthetics, enabling the patient social reintegration.