Soft Tissue Management and Prosthetic Rehabilitation in a Tongue Cancer Patient

One major challenge in treating head and neck oncologic patients is to achieve an acceptable recovery of physiologic functions compatible with the complete tumor excision. However, after tumor resection, some patients present a surgically altered anatomy incompatible with prosthetic rehabilitation,...

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Main Authors: Umberto Romeo, Marco Lollobrigida, Gaspare Palaia, Domenica Laurito, Riccardo Cugnetto, Alberto De Biase
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2013/475186
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author Umberto Romeo
Marco Lollobrigida
Gaspare Palaia
Domenica Laurito
Riccardo Cugnetto
Alberto De Biase
author_facet Umberto Romeo
Marco Lollobrigida
Gaspare Palaia
Domenica Laurito
Riccardo Cugnetto
Alberto De Biase
author_sort Umberto Romeo
collection DOAJ
description One major challenge in treating head and neck oncologic patients is to achieve an acceptable recovery of physiologic functions compatible with the complete tumor excision. However, after tumor resection, some patients present a surgically altered anatomy incompatible with prosthetic rehabilitation, unless some soft tissue correction is carried out. The aim of the present study is to describe the overall mandibular prosthetic rehabilitation of a postoncologic patient focusing on the possibility of soft tissue correction as a part of the treatment. A 72-year-old woman, who undergone a hemiglossectomy for squamous cell carcinoma several years before, was referred to our department needing a new prosthesis. The patient presented partial mandibular edentulism, defects in tongue mobility, and a bridge of scar tissue connecting one side of the tongue to the alveolar ridge. A diode laser (980 nm) was used to remove the fibrous scar tissue. After reestablishing a proper vestibular depth and soft tissue morphology, two implants were placed in the interforaminal region of the mandible to support an overdenture.
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spelling doaj-art-f47864f07ad148baa7d16c9b2cd4229d2025-02-03T01:00:14ZengWileyCase Reports in Dentistry2090-64472090-64552013-01-01201310.1155/2013/475186475186Soft Tissue Management and Prosthetic Rehabilitation in a Tongue Cancer PatientUmberto Romeo0Marco Lollobrigida1Gaspare Palaia2Domenica Laurito3Riccardo Cugnetto4Alberto De Biase5Division of Oral Surgery, Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDivision of Oral Surgery, Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDivision of Oral Surgery, Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDivision of Oral Surgery, Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDivision of Oral Surgery, Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDivision of Oral Surgery, Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyOne major challenge in treating head and neck oncologic patients is to achieve an acceptable recovery of physiologic functions compatible with the complete tumor excision. However, after tumor resection, some patients present a surgically altered anatomy incompatible with prosthetic rehabilitation, unless some soft tissue correction is carried out. The aim of the present study is to describe the overall mandibular prosthetic rehabilitation of a postoncologic patient focusing on the possibility of soft tissue correction as a part of the treatment. A 72-year-old woman, who undergone a hemiglossectomy for squamous cell carcinoma several years before, was referred to our department needing a new prosthesis. The patient presented partial mandibular edentulism, defects in tongue mobility, and a bridge of scar tissue connecting one side of the tongue to the alveolar ridge. A diode laser (980 nm) was used to remove the fibrous scar tissue. After reestablishing a proper vestibular depth and soft tissue morphology, two implants were placed in the interforaminal region of the mandible to support an overdenture.http://dx.doi.org/10.1155/2013/475186
spellingShingle Umberto Romeo
Marco Lollobrigida
Gaspare Palaia
Domenica Laurito
Riccardo Cugnetto
Alberto De Biase
Soft Tissue Management and Prosthetic Rehabilitation in a Tongue Cancer Patient
Case Reports in Dentistry
title Soft Tissue Management and Prosthetic Rehabilitation in a Tongue Cancer Patient
title_full Soft Tissue Management and Prosthetic Rehabilitation in a Tongue Cancer Patient
title_fullStr Soft Tissue Management and Prosthetic Rehabilitation in a Tongue Cancer Patient
title_full_unstemmed Soft Tissue Management and Prosthetic Rehabilitation in a Tongue Cancer Patient
title_short Soft Tissue Management and Prosthetic Rehabilitation in a Tongue Cancer Patient
title_sort soft tissue management and prosthetic rehabilitation in a tongue cancer patient
url http://dx.doi.org/10.1155/2013/475186
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