Hatice AĞAN, Ayhan GÜRBÜZ, Rukiye DURKAN, Gdnca DESTE

LARİNGEAL SKUAMOZ HÜCRELİ KANSERLİ HASTADA POSTOPERATİF RADYOTERAPİ SONRASINDA SABİT-HAREKETLİ DENTAL PROTEZ TEDAVİSİ: VAKA RAPORU

ABSTRACTTransoral endoscopic laser surgery, radiotherapy, chemotheraphy or combination of these are used in the management of laryngeal squamous cell cancers. When the neck tissues are exposed to high doses of radiation, this may affect the patient’s oral health. The side effects of radiation therapy include mucositis, altered salivary gland function and risk of mucosal infection. Xerostomia is a common and significant consequence of neck radiotherapy. Because of the loss of saliva, patients with xerostomia are more susceptible to periodontal disease, bacterial infections and rampant caries. These undiserable side effects can adversely affect patients’ life quality. The aim of this case report is to the fabrication of fixed and removable dental prosthesis for a patient with laryngeal squamous cell cancer because of partial laryngectomy and bilateral functional neck dissection cancer surgery and postoperative radiotherapy. Keywords: Laryngeal Squamous Cell Cancer, Radiotherapy, Fixed And Removable Dental Prosthesis, Rampant Caries Laringeal skuamoz hücreli kanserli hastada postoperatif radyoterapi sonrasında sabit-hareketli dental protez tedavisi: Vaka Raporu ÖZ Laringeal squamoz hücreli kanserlerin tedavisinde transoral lazer cerrahisi, radyoterapi, kemoterapi veya bu tedavilerin kombinasyonları kullanılmaktadır. Yüksek doz raduoterapi uygulandığı zaman bu durum hastanın oral sağlığını etkileyebilmektedir. Radyasyon tedavisinin yan etkileri mukozit, tükürük bezlerinde fonksiyon değişiklikleri ve mukozal infeksiyon risklerinin artmasını içermektedir. Kserostomi boyun radyoterapileri sonunda yaygın gözlenen önemli bir sonuçtur. Tükürük kaybına bağlı olarak gelişen kserostomide rampant kariesler, bakterial infeksiyonlar ve periodontal hastalıklara yatkınlık oluşmaktadır. Bu istenmeyen yan etkiler hastanın yaşam kalitesini olumsuz etkilemektedir. Bu vaka raporunun amacı; Laringeal squamoz hücreli kanserden dolayı parsiyel laringektomi ve bilateral boyun diseksiyonu kanser cerrahisi geçiren ve post operatif radyoterapi gören hastanın sabit ve hareketli dental protezler ile tedavisi sunulmaktadır. Anahtar Kelimeler: laringeal skuamoz hücreli kanser, radyoterapi, sabit ve hareketli dental protezler, rampant karies

Anahtar Kelimeler:

Laryngeal Squamous Cell Cancer, Radiotherapy, Fixed And Removable Dental Prosthesis

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