scholarly journals Aesthetic and Functional Rehabilitation of Maxillectomy Patients: Clinical Case

2021 ◽  
Vol 9 ◽  
Author(s):  
Meriem Ouaalla ◽  
Khadija El Assraoui ◽  
Rajae Zeroual ◽  
Samira Bellemkhannate

The direct effects of cancer and the therapeutic sequelae have a profound impact on the patients' quality of life. The resultant loss of maxillary substance is accompanied by serious functional, aesthetic, psychological and social problems. The maxillofacial obturating prosthesis remains as a therapeutic tool that improves aesthetics and restores the various functions of chewing, swallowing and phonation. A tight collaboration between the maxillo-facial surgeon and the dentist is essential to obtain an optimal prosthesis both functionally and aesthetically, thus allowing a socio-professional reintegration of the patient.

Author(s):  
Ella Polozova ◽  
Vsevolod Skvortsov ◽  
Olga Radaykina ◽  
Mariya Narvatkina ◽  
Anastasiya Seskina ◽  
...  

The widespread prevalence of comorbid pathology determines the relevance of this problem. Comorbid pathology due to the interaction of diseases, drug pathomorphism, age characteristics of the patient, significantly changes clinical picture and course of the main nosology, affects severity of complications and their nature, significantly affects quality of life and prognosis of patients. Diagnosis and treatment of many diseases is complicated in the conditions of comorbidity. The article presents a clinical case of a comorbid patient with arterial hypertension from the moment of exposure to risk factors and ending with the formation of many concomitant diseases, as an example of trans-nosological comorbidity.


2021 ◽  
pp. 13-17
Author(s):  
А.Е. Турсын

Описан клинический случай пациент с нефротическим синдромом, стероид резистентный вариант, с артериальной гипертензией, осложненный полисерозитом (гидроторакс, асцит, плеврит). Пациент поступил в клинику в состоянии средней степени тяжести, с массивными отеками, полисерозитом, артериальной гипертензией и выраженным нефротическим синдромом. Диагноз: Гломерулярная болезнь. Нефротический синдром, стероид резистентный вариант. Функция почек снижена (СКФ- 84мл/мин по Шварцу). Двухсторонний экссудативный плеврит. Гидроторакс. Полисерозит (в рамках нефротического синдрома) был установлен на основании выраженного нефротического синдрома. Пациенту была проведена патогенетическая терапия. Отмечено улучшение состояния больного, в виде снижения отеков, нормализаций артериального давления, что в свою очередь поспособствовало сохранению и улучшению качества жизни пациента. A clinical case of a patient with nephrotic syndrome, steroidresistant variant, with arterial hypertension complicated by polyserositis (hydrothorax, ascites, pleurisy) is described. The patient was admitted to the clinic in a state of moderate severity, with massive edema, polyserositis, arterial hypertension, and severe nephrotic syndrome. Diagnosis: Glomerular disease. Nephrotic syndrome, steroidresistant variant. The kidney function is reduced (GFR - 84 ml/min according to Schwartz). Bilateral exudative pleurisy. Hydrothorax. Polyserositis (within the framework of nephrotic syndrome) was established based on the severe nephrotic syndrome. The patient underwent pathogenetic therapy. An improvement in the patient's condition was noted, in the form of a decrease in edema, normalization of blood pressure, which in turn contributed to the preservation and improvement of the patient's quality of life.


Author(s):  
Gita Rani ◽  
Amarjeet Gambhir

ABSTRACT Successful prosthetic reconstruction of hemimaxillectomy defects is a challenging procedure that requires multidisciplinary expertize to achieve acceptable function, speech and esthetics. Rehabilitation of an acquired maxillary defect improves the quality of life for the patient as close to normal as possible. Obturation of the defect depends on its volume and position of remaining hard and soft tissues, to be utilized for retention, stability and support for the prosthesis. The prosthesis should be simple to handle, easy to maintain, biocompatible, light in weight and convenient for future adjustments. This case report describes a clinical case of subtotal maxillectomy, which was successfully rehabilitated with a hollow bulb obturator. How to cite this article Rani G, Gambhir A. Prosthodontic Rehabilitation of a Patient with Subtotal Maxillectomy using a Hollow Bulb Obturator. Int J Prosthodont Restor Dent 2012; 2(1):24-28.


2021 ◽  
Vol 15 (57) ◽  
pp. 562-576
Author(s):  
Cleia Leimara marinho Silva ◽  
Rosalia Maria Passos da Silva

Resumo: As universidades têm a atribuição de formar cidadãos responsáveis e éticos, de forma que contribuam com o desenvolvimento sustentável e resolução de problemas sociais. Nesta esteira, a responsabilidade social no ambiente universitário viabiliza a construção de ações que impactam a sociedade favorecendo a inclusão social, melhoria na qualidade de vida e outros benefícios. Diante desse cenário, busca-se nesta pesquisa responder ao seguinte questionamento: qual a importância da responsabilidade social nas universidades? E para responder a essa indagação, o artigo apresenta como objetivo geral: identificar qual a importância da responsabilidade social no ambiente universitário, e como objetivos específicos (1) compreender fatores históricos e práticos que favorecem a aplicabilidade da responsabilidade social nas universidades; (2) identificar os desafios na aplicabilidade de responsabilidade social; (3) analisar as características fundamentais da responsabilidade social. Quanto à metodologia aplicada, o artigo foi construído por meio de uma análise sistemática da literatura que permitiu realizar uma revisão teórica e conceitual, em seguida, houve a discussão da literatura, considerações finais e referencial teórico. Os Resultados revelam que a Responsabilidade Social Universitária possui muitos desafios a serem enfrentados e que o espaço universitário precisa ser fortalecido para que proporcione à sociedade indivíduos com capacidade técnica capaz de resolver problemas sociais. Abstract: Universities are responsible for training responsible and ethical citizens, so that they contribute to sustainable development and the resolution of social problems. In this way, social responsibility in the university environment enables the construction of actions that impact society, favoring social inclusion, improved quality of life and other benefits. Given this scenario, the aim of this research is to answer the following question: what is the importance of social responsibility in universities? And to answer this question, the article presents the general objective: to identify the importance of social responsibility in the university environment, and as specific objectives (1) understand historical and practical factors that favor the applicability of social responsibility in universities; (2) identify challenges in the applicability of social responsibility; (3) analyze the fundamental characteristics of social responsibility. As for the methodology applied, the article was built through a systematic analysis of the literature that allowed for a theoretical and conceptual review, then there was a discussion of the literature, final considerations and theoretical framework. The Results reveal that University Social Responsibility has many challenges to be faced and that the university space needs to be strengthened so that it provides society with individuals with technical capacity capable of solving social problems. Keywords: Social Inclusion. Social development. Quality of life. Social justice.


Author(s):  
Robin D. Clark ◽  
Cynthia J. Curry

This chapter reviews the incidence, risk factors, genetics, recurrence risk, and epidemiology of arthrogryposis. The most common and clinically recognizable type among the congenital contractures is amyoplasia, and treatment options are improving the quality of life for these patients. The distal arthrogryposes are mostly autosomal dominant and caused by an increasing number of genes including variants in PIEZ02 and MYH3 among several others. The lethal contracture syndromes have an expanding number of causes many of which are autosomal recessive. The majority of these conditions are recognized on US. In viable syndromes the early and intensive use of physical therapy is critical and can result in significant joint mobilization. The clinical case presentation features an infant with lethal multiple pterygia syndrome.


2018 ◽  
Vol 5 (4) ◽  
pp. 26 ◽  
Author(s):  
Carlos Miguel Ferreira ◽  
Sandro Serpa

This opinion article intends to address the emergence of what will, potentially, be a central concept in a very nearfuture, that of Society 5.0, and that emerges politically as a (con)sequence of the implementation of the concept ofIndustry 4.0. By proposing a deepening of the potential of the individual-technology relationship in fostering theimprovement of the quality of life of all people through a super-intelligent society, Society 5.0 is an extremely recentconcept as a guide for social development and that can have a profound impact on societies at all levels, such as interms of the quality of life and sustainability. This presentation is based on very recent publications, but it also has aprospective component, which always generates some indeterminacy and uncertainty. Also for this reason, thiscontribution seeks, above all, to help in this very urgent and necessary discussion.


Author(s):  
Carlos Eduardo Paiva ◽  
Bianca Sakamoto Ribeiro Paiva

There has been much debate about the role of parenteral hydration in the last weeks and days of life. In this important study, 129 patients with advanced cancer receiving hospice care with mild to moderate dehydration who were no longer able to maintain adequate fluid intake were randomized to receive parenteral hydration of either 1 L or 100 ml of normal saline per day subcutaneously. Parenteral hydration did not significantly improve the symptoms related to dehydration, the occurrence of delirium, fatigue, quality of life, and overall survival. At the end of the chapter, a clinical case leads readers to consider the common practice of parenteral hydration.


2017 ◽  
Vol 1 (1) ◽  
pp. 75-85
Author(s):  
Kinga Polek

<b>Aims:</b> The aims of this work were to analyze and assess the quality of life of people with capillary malformation as well as to check if they experience mental and social problems in everyday life. <br/><b>Materials and methods:</b> A diagnostic survey, a questionnaire prepared for this particular study, was used as a data collection method. The sample consisted of 10 people, both men and women, aged 19-56. The participants were all suffering from port-wine stain. <br/><b>Results:</b> The results showed that 90% of the respondents (9 people) believed that because of capillary malformation their lives are different comparing to those of healthy people. 60% (6 people) did not come to terms with the affliction and 80% (8 people) had an impression of being different, meaning worse, because of the skin marks. 90% admitted that PWS contributed to their depressive state. 80% declared having problems with establishing new contacts. 50% believed finding a job was negatively influenced by the disease and their different look. 40% claimed to have a lower self-esteem because of port-wine stains. <br/><b>Conlusions:</b> The study provided evidence to a claim that people with capillary malformation may experience both mental and social problems. Thus, psychological care is crucial for people with PWS. Furthermore, laser therapy should be introduced among children as it would diminish their chances of having such problems in the future. As far as environment is concerned, there should be an educational program established which would act against marginalization of those suffering from not only capillary malformation but also other types of diseases causing skin changes. Moreover, such programs could help to build positive attitudes towards those people.


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