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Elective dental extractions and osseointegrated implant replacement to facilitate transoral endoscopic ENT surgical procedures

Published online by Cambridge University Press:  12 October 2015

C J Butterworth
Affiliation:
Regional Head and Neck Surgery Unit, University Hospital Aintree, Liverpool, UK
J Lancaster
Affiliation:
Regional Head and Neck Surgery Unit, University Hospital Aintree, Liverpool, UK
H S Shah
Affiliation:
Regional Head and Neck Surgery Unit, University Hospital Aintree, Liverpool, UK
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Abstract

Background:

Transoral endoscopic ENT surgical procedures are a mainstay of treatment for a variety of conditions and are often preferable to open surgery where possible. Cases of micrognathia, prominent incisor teeth or trismus may create difficulties in gaining sufficient access to undertake such procedures. Extraction of the anterior maxillary teeth can help overcome these problems in appropriate cases, with subsequent prosthetic tooth replacement supported by dental implants. To date, this approach has not been reported in the literature.

Case reports:

This paper reports on two cases which illustrate this approach; the first case involved pharyngeal pouch management where previous open surgery had failed, and the second case involved glottic carcinoma management where oral access was compromising resection.

Conclusion:

This technique is recommended to facilitate effective transoral surgical procedures as a low-morbidity alternative to either open surgery or non-surgical therapies.

Type
Short Communication
Copyright
Copyright © JLO (1984) Limited 2015 

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References

1Van Eeden, S, Lloyd, RV, Tranter, RM. Comparison of the endoscopic stapling technique with more established procedures for pharyngeal pouches: results and patient satisfaction survey. J Laryngol Otol 1999;113:237–40CrossRefGoogle ScholarPubMed
2Health and Social Care Information Centre. National Head and Neck Cancer Audit 2013. Leeds: Health and Social Care Information Centre, 2014;19Google Scholar
3Sen, P, Bhattacharyya, AK. Endoscopic stapling of pharyngeal pouch. J Laryngol Otol 2004;118:601–6CrossRefGoogle ScholarPubMed
4Buser, D, Martin, W, Belser, UC. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants 2004;19 suppl:4361Google ScholarPubMed
5Esposito, M, Grusovin, MG, Polyzos, IP, Felice, P, Worthington, HV. Interventions for replacing teeth: dental implants in fresh extraction sockets (immediate, immediate-delayed and delayed implants). Cochrane Database Syst Rev 2010;(9):CD005968Google Scholar

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