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Case Reports
. 2011 Sep;19(9):1477-80.
doi: 10.1007/s00520-011-1232-7. Epub 2011 Jul 13.

Oral rehabilitation with implant-based prostheses of two adult patients treated for childhood rhabdomyosarcoma

Anke Korfage  1 , Kees Stellingsma, Johan Jansma, Arjan Vissink, Gerry M Raghoebar
Affiliations
Case Reports

Oral rehabilitation with implant-based prostheses of two adult patients treated for childhood rhabdomyosarcoma

Anke Korfage et al. Support Care Cancer. 2011 Sep.

Abstract

Background: Rhabdomyosarcoma is the most common malignant tumor in the nasal and paranasal sinus area at childhood. Multimodal treatment for this disorder has severe side effects due to normal tissue damage. As a result of this treatment, facial growth retardation and oral abnormalities such as malformation of teeth and microstomia can cause esthetic and functional problems.

Case reports: Two cases are presented of patients with severe midfacial hypoplasia and reduced oral function as a result of treatment of rhabdomyosarcoma of the nasopharyngeal and nasal-tonsil region. With a combined surgical (osteotomy, distraction osteogenesis, implants) and prosthetic (implant-based overdenture) treatment, esthetics and function were improved.

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Figures

Fig. 1
Fig. 1
a Patient at the age of 19 with hypoplasia of the midface due to delayed growth. A rigid external distraction frame (RED) was placed to correct this hypoplasia. b Patient at the age of 23 after correction of the midfacial hypoplasia and completion of prosthetic treatment showing a more ventral position of the midface and improved esthetics. c Rotational panoramic radiograph of the patient at the age of 13 showing hypodontia, conical shape of the crowns, and nearly complete absence of roots of the maxillary teeth. d Rotational panoramic radiograph at the age of 23 after treatment showing four maxillary implants and a milled titanium superstructure
Fig. 2
Fig. 2
a In profile image of the patient during treatment of the rhabdomyosarcoma at the age of 36 months. b In profile image of the patient at the age of 21 after oral rehabilitation, still showing midfacial hypoplasia. c The milled titanium superstructure on three implants. d The implant-based maxillary overdenture in situ
See this image and copyright information in PMC

References

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