Izhnina E.V., Kochurova E.V., Zabunyan G.A., Teremov A.V., Kokaev K.T., Rodygin V.V. Aesthetic advantages of complex maxillary prosthetic rehabilitation in a patient after total maxillectomy for a malignant tumor: a case report. 2025;13(2):79–90
DOI: https://doi.org/10.25792/HN.2025.13.2.70-78
Background. Dental rehabilitation during anticancer treatment and further follow-up of patients with malignant tumors of the oropharyngeal region presents great difficulties due to the impairment of such basic vital functions as breathing, swallowing, chewing, speech formation, as well as due to the lack of a unified methodological approach to treatment. Despite the emergence of new and improved techniques, the treatment of patients in this group remains challenging due to the delayed diagnosis, complex clinical and anatomical variability of the maxillofacial structures, as well as the extent of defects after surgical treatment and a significant number of associated complications. In this regard, there is a need to improve the efficiency of dental rehabilitation and optimize the existing stages of prosthetic manufacturing to improve the quality of life of the patients, in which replacing the lost tissues with a free revascularized graft is not possible, at different stages of oropharyngeal cancer treatment.
Clinical case description. We present a description of clinical and laboratory dental rehabilitation of a patient with an extensive defect in the maxillofacial region after surgical treatment of a malignant tumor. Prosthetic treatment of the patient with postresection defect was proposed using a removable implant-supported maxillary prosthesis with an individual approach to the aesthetic and functional components of prosthesis fabrication. At all stages, the patient’s quality of life was analyzed according to the QLQ-C30 H&N35 international scale.
Conclusion. Thus, an individualized aesthetic approach based on the needs and facial traits of the patient with adenocarcinoma allowed to realize a complete dental treatment, which served as a psycho-emotional rehabilitation and made it possible to restore the lost basic functions of the maxillofacial structures, such as swallowing, speech, breathing, eating, as well as facial aesthetics, having a positive impact on the quality of life.
Key words: maxillofacial prosthetics; dental rehabilitation; malignant tumors; maxillary resection; dental implantation
Conflict of interests. Authors declare no conflict of interests for this article.
Financing. Source of financing unspecified.