Traumatic Palatal Defect Closure With Prosthesis Post Surgical Reconstruction: A Team Approach

Martina, Nungki Ratna and Kreshanti, Prasetyanugraheni and Handayani, Siti and Bangun, Kristaninta (2012) Traumatic Palatal Defect Closure With Prosthesis Post Surgical Reconstruction: A Team Approach. Jurnal Plastik Rekonstruksi, 1 (5). pp. 488-492. ISSN 2089 9734

Text TraumaticPalatalDefectClosureWithProsthesis.pdf Download (383kB)

Abstract

Background: Palatal defect may be a result of congenital malformations, trauma or tumors. In most maxillopalatal trauma, surgical reconstruction is required to restore the function and appearance. Any palatal defect caused by maxillopalatal loss that cannot be achieved with surgical reconstruction needs special and comprehensive treatment. This can be done by prosthodontist prosthesis rehabilitation. Patients and Methods: A 20-year-old man underwent open reduction and internal !xation for severe maxillopalatal fracture and palatal loss. Intraoperative, the palatal defect could not be approximated due to palatal loss. In 3-month-follow up, there was a palatal defect and slight malocclusion due to anterior dental loss. Instead of performing complicated surgical procedures, we collaborate with the prosthodontist to assemble prosthesis with dental prosthesis that accommodate the closure of defect and improve appearance aesthetically. Result: The use of prosthesis improves functional and psychological wellbeing. It does not only close the palatal defect, but it also !lls the anterior dental loss thus overcoming the malocclusion. Satisfying functional and aesthetic outcome was achieved. Summary: Rehabilitation of maxillopalatal defect has been well de!ned for prosthodontists and surgeons. A successful prosthetic design for functional restoration of the palatal defect utilizes the remaining palate and dentition to maximize the support, stability and appearance. In this case, prosthodontist and dentition prosthesis was used as modalities that offer simple solution to close the palatal defect compared to a more complicated surgical intervention. Keywords: maxillopalatal fracture, palatal defect, prosthodontist prosthesis Nungki Ratna Martina, Prasetyanugraheni Kreshanti, Siti Handayani, Kristaninta Bangun Jakarta, Indonesia. alatal defect may be a result of congenital malformations, trauma or surgical resection of the tumours. In most palatal or maxillopalatal trauma, surgical reconstruction is required to restore the function and appearance. Palatal fractures are frequently associated with Le Fort maxillary fractures in PFrom Division of Plastic Surgery, Department Of Surgery, Cipto Mangunkusumo General National Hospital, Universitas Indonesia. Presented in the 16th IAPS Scienti!c Meeting, Medan, North Sumatera, Indonesia Traumatic Palatal Defect Closure With Prosthesis Post Surgical Reconstruction: A Team Approach CRANIOFACIAL Disclosure: The authors have no !nancial interest to declare in relation to the content of this article. 488 www.JPRJournal.com Latar Belakang: Defek palatum dapat terjadi akibat kelainan kongenital, trauma atau tumor. Pada kebanyakan trauma maksilopalatal, tindakan operasi diperlukan untuk mengembalikan fungsi dan penampilan. Defek tulang palatum yang tidak dapat direkonstruksi dengan tindakan bedah memerlukan tatalaksana yang khusus dan komprehensif. Ini dapat dicapai dengan menggunakan prostese prostodonti. Pasien dan Metode: Pasien laki-laki, 20 tahun, dengan fraktur maksilopalatal yang ekstensif dan kehilangan tulang palatum menjalani operasi reduksi terbuka dan !ksasi interna. Defek palatum tidak dapat diaproksimasi intraoperasi karena ada tulang palatum yang hilang. Pada saat kontrol 3 bulan ditemukan defek di palatum dan maloklusi ringan akibat kehilangan gigi depan. Dibanding melakukan prosedur operasi yang kompleks, kami berkolaborasi dengan prostodonti untuk membuat prostese palatum dan gigi yang mengakomodasi penutupan defek dan meningkatkan penampilan secara estetik. Hasil: Penggunaan prostese memperbaiki fungsi dan psikologis pasien. Prostese tersebut tidak hanya menutup defek palatum, tapi juga mengisi gigi depan yang hilang sehingga mengatasi maloklusi. Terdapat perbaikan fungsi dan estetik yang memuaskan pada pasien ini. Ringkasan: Rehabilitasi defek maksilopalatal telah diketahui dengan baik di kalangan prostodonti dan ahli bedah. Desain prostese palatum dibuat untuk restorasi fungsi dengan memanfaatkan palatum dan gigi geligi yang tersisa untuk memaksimalkan sokongan, stabilitas dan penampilan. Pada kasus ini, prostese merupakan sebuah modalitas yang menawarkan solusi sederhana untuk menutup defek palatum dibandingkan dengan intervensi pembedahan yang kompleks. Kata Kunci: maxillopalatal fracture, palatal defect, prosthodontist prosthesis

Actions (login required)

View Item