整体式腭托导板在获得性下颌骨缺损修复中的应用:附1例报告  

Application of palatal base combined with shield above floor of mouth for restoration of acquired mandibular defect with glossectomy: Report of one case

作　　者：蒋永林[1] 李杰 孙健[1] 张富强[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔修复科,上海市口腔医学重点实验室,上海200011 [2]江苏省扬州市口腔医院,江苏扬州225002

出　　处：《上海口腔医学》2010年第1期16-18,共3页Shanghai Journal of Stomatology

基　　金：上海市科学技术委员会资助项目(08D22271100)~~

摘　　要：目的:将整体式腭托导板应用于获得性下颌骨缺损伴全舌、口底切除患者的修复,评价其修复效果。方法:通过对1例下颌骨伴全舌、口底切除患者设计制作整体式腭托导板,评价其在恢复患者部分生理功能和减轻患者术后继发畸形及下唇唇炎中的临床效果。结果:该患者经过整体式腭托导板修复治疗,获得满意效果,修复体固位良好,患者外形得到较好恢复,吮吸功能改善,继发畸形及下唇内陷均得到控制。结论:整体式腭托导板在获得性下颌骨缺损伴全舌、口底切除患者的修复中可以取得良好的效果。PURPOSE： To evaluate the prosthetic results of application of palatal base combined with shield above the floor of mouth for restoration of acquired mandibular defect with glossectomy. METHODS： Palatal base with four wrought clasps was designed for the upper prostheses. Shield just above the floor of the mouth and buccal mucosa was fabricated to support the buccal mucosa and muscle. Then the upper and lower prostheses were linked by using thermal curing acrylic resin on the left and right side. RESULTS： Good retention of the prostheses was obtained. The appearance of the patient was remarkably improved. Depression of the lower lip was improved. Oral function was enhanced. CONCLUSIONS： Better prosthetic results could be obtained by using palatal base combined with shield above the floor of mouth for restoration of acquired mandibular defect with glossectomy.

关 键 词：腭托式袷导板 获得性下颌骨缺损 全舌切除 修复治疗 

分 类 号：R782.2[医药卫生—口腔医学]