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professional thesis
Implantoprotetska rehabilitacija bolesnika nakon kirurškog liječenja zloćudne novotvorine orofarinksa-prikaz slučaja
Zagreb: University of Zagreb, School of Dental Medicine, 2021. urn:nbn:hr:127:064476
Čivljak, Tadej
University of Zagreb
School of Dental Medicine
Department of Oral Surgery

Institutional repository: University of Zagreb School of Dental Medicine Repository

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Čivljak, T. (2021). Implantoprotetska rehabilitacija bolesnika nakon kirurškog liječenja zloćudne novotvorine orofarinksa-prikaz slučaja (Professional thesis). Zagreb: University of Zagreb, School of Dental Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:127:064476

Čivljak, Tadej. "Implantoprotetska rehabilitacija bolesnika nakon kirurškog liječenja zloćudne novotvorine orofarinksa-prikaz slučaja." Professional thesis, University of Zagreb, School of Dental Medicine, 2021. https://urn.nsk.hr/urn:nbn:hr:127:064476

Čivljak, Tadej. "Implantoprotetska rehabilitacija bolesnika nakon kirurškog liječenja zloćudne novotvorine orofarinksa-prikaz slučaja." Professional thesis, University of Zagreb, School of Dental Medicine, 2021. https://urn.nsk.hr/urn:nbn:hr:127:064476

Čivljak, T. (2021). 'Implantoprotetska rehabilitacija bolesnika nakon kirurškog liječenja zloćudne novotvorine orofarinksa-prikaz slučaja', Professional thesis, University of Zagreb, School of Dental Medicine, accessed 13 January 2025, https://urn.nsk.hr/urn:nbn:hr:127:064476

Čivljak T. Implantoprotetska rehabilitacija bolesnika nakon kirurškog liječenja zloćudne novotvorine orofarinksa-prikaz slučaja [Professional thesis]. Zagreb: University of Zagreb, School of Dental Medicine; 2021 [cited 2025 January 13] Available at: https://urn.nsk.hr/urn:nbn:hr:127:064476

T. Čivljak, "Implantoprotetska rehabilitacija bolesnika nakon kirurškog liječenja zloćudne novotvorine orofarinksa-prikaz slučaja", Professional thesis, University of Zagreb, School of Dental Medicine, Zagreb, 2021. Available at: https://urn.nsk.hr/urn:nbn:hr:127:064476

Metadata
TitleImplantoprotetska rehabilitacija bolesnika nakon kirurškog liječenja zloćudne novotvorine orofarinksa-prikaz slučaja
Title (english)Implant-prosthetic rehabilitation of patients after surgical treatment of a malignant neoplasm of the oropharynx - a case report
AuthorTadej Čivljak
MentorDragana Gabrić (mentor)
MentorIvica Pelivan (mentor)
Committee memberBerislav Perić (predsjednik povjerenstva)
Committee memberDragana Gabrić (član povjerenstva)
Committee memberIvica Pelivan (član povjerenstva)
Committee memberRobert Trotić (član povjerenstva)
Committee memberMarinka Mravak-Stipetić (član povjerenstva)
GranterUniversity of Zagreb
School of Dental Medicine
(Department of Oral Surgery)
Zagreb
Defense date and country2021, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Dental Medicine
Abstract
Karcinom orofarinksa ubraja se u najčešće tumore glave i vrata. Liječenje se često započinje tek u uznapredovaloj fazi zbog početnog asimptomatskog rasta karcinoma, a tada nije moguće izbjeći radikalne resekcije tkiva odgovornih za gutanje i žvakanje te narušiti estetiku lica. Prikazan je onkološki bolesnik nakon resekcije donje čeljusti po kirurškom liječenju karcinoma orofarinksa. Anamnestički se nalazi dokumentacija o kirurškom liječenju, učinjena je radikalna disekcija vrata, blok resekcija (commando operacija) i rekonstrukcija anterolateralnim natkoljeničnim režnjem zbog planocelularnoga karcinoma lokaliziranoga u predjelu prednjega nepčanoga luka sa širenjem u retromolarnitrigonum te lateralne stijenke orofarinksa (T3N0M0). Pri inicijalnom pregledu nađena je bezuba donja čeljust, reducirana nepomična sluznica koja je onemogućavala kvalitetan mobilni protetski rad. Učinjena je CBCT snimka na kojoj je bio uočljiv adekvatan rezidualni alveolarni greben za ugradnju dentalnih implantata. Nakon konzultacije sa specijalistom stomatološke protetike, odlučilo se postaviti tri dentalna implantata kao osnovu za nošenje mobilnog protetskog rada – pokrovne proteze retinirane individualno frezanom prečkom. Ugrađeni su dentalni implantati Zimmer Biomet Trabecular Metal™. Poslije oseointegracije pristupilo se njihovu otvaranju te su se postavili gingiva formeri. Dva tjedna poslije uzeli su se anatomski i funkcijski otisci obje čeljusti radi izrade nove gornje subtotalne proteze i donje pokrovne proteze retinirane prečkom. Tri tjedna poslije pacijentu su predane nove proteze. Pacijent je naveo izrazito povećanje žvačne učinkovitosti i posljedično kvalitete života.
Abstract (english)
Oropharyngeal cancer is one of the most common cancers of the head and neck. Treatment often starts at an advanced stage due to the initial asymptomatic growth of the cancer, so it is not possible to avoid resections of the tissue responsible for swallowing and chewing and hence disrupt facial aesthetics. An oncology patient has been presented after the resection of the lower jaw following surgical treatment of oropharyngeal cancer. There is anamnestic documentation of the surgical treatment, radical neck dissection, the commando procedure and reconstruction with anterolateral upper lobe for the squamous cell carcinoma localised in the anterior palatal arch spreading to the retromolar trigone and the lateral wall of the oropharynx (T3N0M0). Upon the initial examination, a toothless lower jaw was found, a reduced attached mucosa that prevented quality mobile prosthetic work. A CBCT image was taken showing an adequate residual alveolar ridge for dental implant placement. After consulting a dental prosthetics specialist, it was decided to place three dental implants as a basis for wearing mobile prosthesis–implant-retained overdenture on milled bar. Zimmer Biomet Trabecular Metal™ dental implants were placed. After osseointegration, they were opened and gingival formers were inserted. Two weeks later, anatomical and functional impressions of both jaws were taken to make a new upper subtotal prosthesis and a bar retained lower overdenture. Three weeks later, the patient was given new dentures. The patient reported a marked increase in chewing efficiency and, consequently, an improvement ofthe quality of life.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:127:064476
Study programmeTitle: dental medicine
Study programme type: university
Study level: postgraduate specialist
Academic / professional title: sveučilišni/a magistar/magistra dentalne medicine (sveučilišni/a magistar/magistra dentalne medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) icon
Created on2021-01-13 14:01:20