RESUMO
To statistically evaluate the factors that influenced masticatory performance following Maxillectomy, masticatory performance was measured in 43 patients with a post-operative prosthesis by means of a spectrophotometer using adenosine triphosphate (ATP) granules. Our statistical analysis revealed that the number of occluding post-canine teeth and the patient's sex were factors that influenced masticatory performance and demonstrated that it was most important to improve occlusion in the pre-molar/molar region.
Assuntos
Prótese Dentária/normas , Mastigação , Maxila/cirurgia , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Oclusão Dentária , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores SexuaisRESUMO
To statistically evaluate the factors that influenced speech following maxillectomy, the speech intelligibility (SI) in 54 patients was measured with and without a prosthesis. The mean SI score without a prosthesis in all patients was 35.7 +/- 22.7% and that with a prosthesis was 84.9 +/- 12.7%. The results of the postmaxillectomy SI statistical analysis revealed that an oro-nasal communication was one of the factors that influenced SI without a prosthesis. The resection of the anterior portion of the soft palate was one of the factors that influenced SI with a prosthesis, which suggested that for some of these patients we should consider specific surgical treatment, aimed at the reconstruction in the deep defect extending to the intratemporal fossa. A new classification of maxillary defects has been proposed which will help to predict the grade of post-maxillectomy speech disorder following surgery.
Assuntos
Prótese Dentária , Maxila/cirurgia , Obturadores Palatinos , Inteligibilidade da Fala , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Previsões , Humanos , Masculino , Pessoa de Meia-Idade , Septo Nasal/cirurgia , Doenças Nasais/fisiopatologia , Doenças Nasais/reabilitação , Fístula Bucal/fisiopatologia , Fístula Bucal/reabilitação , Palato/cirurgia , Palato Mole/cirurgia , Fístula do Sistema Respiratório/fisiopatologia , Fístula do Sistema Respiratório/reabilitação , Fala/fisiologia , Distúrbios da Fala/classificação , Distúrbios da Fala/etiologia , Osso Temporal/cirurgiaRESUMO
Selective transcatheter arterial embolization, using Gelfoam, was performed in 2 patients with bleeding from tongue arteries due to carcinoma. Though the patients were in poor general condition, being in the terminal stage of cancer, there were no complications and the bleeding was successfully controlled. This method was effective in controlling haemorrhage from the tongue due to carcinoma of the tongue.
