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부분 혀 절제술로 인해 연하 장애가 있는 환자에서 상악 구개 증대 총의치 제작 증례
Case of making maxillary palatal augmentation complete denture for patient with dysphagia after partial glossectomy
J Dent Rehabil Appl Sci 2018;34(3):239-245
Published online September 30, 2018
© 2018 Korean Academy of Stomatognathic Function and Occlusion.

김형석, 박지영, 임선영, 허유리, 손미경*
Hyung-Seok Kim, Ji-Young Park, Sun-Young Yim, Yu-Ri Heo, Mee-Kyoung Son*

조선대학교 치과대학 치과보철학교실

Department of Prosthodontics, College of Dentistry, Chosun University, Gwangju, Republic of Korea
Mee-Kyoung Son
Professor, Department of Prosthodontics, College of Dentistry, Chosun University 303, Philmoon-daero, Dong-gu, Gwangju, 61452, Republic of Korea
Tel: +82-62-220-3825, Fax: +82-62-227-2363, E-mail: son0513@chosun.ac.kr
Received June 18, 2018; Revised July 12, 2018; Accepted July 27, 2018.
cc This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
만약 혀 절제술로 인해 식괴의 형성 및 이동에 장애가 생기는 경우, 식괴가 기도를 막거나 기도로 흡인되는 연하장애가 발생할 수 있으며, 이런 경우에 구개 증대 보철물은 도움이 될 수 있다. 구강암으로 인해 부분 혀 절제술을 받은 후 음식물을 삼키기 어렵다는 주소로 내원한 환자에게 혀의 기능 운동을 인기한 상악의 연마면 인상채득을 통해 구개 증대 보철 개념을 활용한 상악 총의치를 제작하여, 구개-혀 접촉 압력을 증가시켜서 연하 및 발음에 양호한 결과를 얻을 수 있었다.
If complication arises after glossectomy which leads to trouble in forming food bolus or transfer of the food, it is possible that either food bolus may block the airway or dysphagia may occur as the food bolus goes down into the airway. To solve the issue, palatal augmentation prosthesis could be used. In this case, the patient with an oral cancer is having difficulties swallowing food after glossectomy. Through taking impressions of polishing surface of his denture referring his tongue movement, the complete denture for the upper jaw was created using the concept of palatal augmentation prosthesis. This new upper denture increases the palatal-tongue contact pressure, allowing the patient to perform better swallowing and better pronunciation.
주요어 : 혀 절제술; 연하 곤란; 삼킴 장애; 구개 증대 보철물
Keywords : glossectomy; dysphagia; swallowing disorder; palatal augmentation prosthesis


September 2018, 34 (3)
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