Prosthetic rehabilitation for a glossectomy patient - a clinical report

Jiyoung Yoon; Siho Lee; Jiyoen Lee; Namsik Oh

doi:10.4047/jkap.2013.51.4.347

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Yoon, Lee, Lee, and Oh: Prosthetic rehabilitation for a glossectomy patient - a clinical report

Case Report

J Korean Acad Prosthodont 2013;51(4):347-352.

Published online: NaN October 2013

DOI: https://doi.org/10.4047/jkap.2013.51.4.347

Prosthetic rehabilitation for a glossectomy patient - a clinical report

Jiyoung Yoon, MSD, DDS, Siho Lee, MSD, DDS, Jiyoen Lee, MSD, DDS, Namsik Oh, DDS, PhD^∗

Department of Dentistry, College of Medicine, Inha University, Incheon, Korea

∗Corresponding Author: Namsik Oh Division of Prosthodontology, Department of Dentistry, College of Medicine, Inha University, 2th floor, Inha University Hospital, 3rd ST. Shinheung-dong, Jung-gu, Incheon, 400-711, Korea +82 32 890 2470: e-mail, onsdo@inha.ac.kr

Received 29 August 201313 September 2013 Accepted 1 October 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Malignant tumours of the oral cavity that require resection of the tongue result in severe deficiencies in speech and deglutition. In such patients, improvements in mastication, swallowing, and speech may be reasonable goals for treatment. The viability of a prosthodontic approach to treatment depends on the type and extent of surgery. In a total glossectomy, a mandibular tongue prosthesis is the treatment of choice. Mandibular tongue prosthesis occupies the space in the floor of the oral cavity. It provides the patients with a platform for directing food into the esophagus and aids in speaking. This type of prosthesis can achieve that protection of the underlying fragile tissue and improvement in appearance and psychosocial adjustment. This case report describes the technical steps involved in prosthetic rehabilitation for a glossectomy patient. (J Korean Acad Prosthodont 2013;51:347-52)

Keywords: Prosthetic rehabilitation, Glossectomy, Palatal augmentation prosthesis, Mandibular tongue prosthesis

REFERENCES

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Fig. 1.

Initial intraoral state of patient after surgery. A: at rest, B: at elevation of tongue.

Fig. 2.

Preliminary impression.

Fig. 3.

Making of Diagnostic cast model.

Fig. 4.

Block out of diagnostic cast model. A: on the top aspect, B: on the back aspect.

Fig. 5.

The manufacture of resin frame work. A: on the top aspect, B: on the side aspect, C: on the back aspect, D: reduced posterior area (arrow) .

Fig. 6.

Prosthesis after taking the functional impression using COE-SOFT (arrow). A: on the tongue aspect, B: on the top aspect.

Fig. 7.

Patient's intraoral photograph at elevation of tongue after 4 months.

Fig. 8.

Final interim mandibular tongue prosthesis. A: intraoral photo, B: on the tongue aspect, C: on the top aspect.

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