Pleomorphic adenoma rehabilitative treatment in growing up patient: a 20-years follow-up

E. Brauner, S. Jamshir, G. Guarino, A. Ciolfi, V. Valentini, G. Pompa, S. Di Carlo

Implantoprosthesis Unit, Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Rome, Italy. sara.jamshir@hotmail.it

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• Maxillofacial Surgery

OBJECTIVE: Although tumors of minor salivary glands are rare, the pleomorphic adenoma is the most common pathology among the benign neoplasm and can be found with high prevalence in the junction between hard palate and soft palate. Most of the maxillary tumors are surgically treated through either a total or partial maxillectomy. However, surgical defects lead to both clinical and psychologic disorders for the patient.

A postoperative obturator prosthesis is a good option in patients who underwent maxillectomy. It allows to restore both masticatory and speaking functions, as well as aesthetic appearance. When reconstruction of the surgical site is possible, an implant-supported prosthesis can be considered to guarantee a better function and aesthetic’s rehabilitation.

CASE REPORT: This clinical report presents the prosthetic rehabilitation of a patient who underwent maxillectomy because of a pleomorphic adenoma of hard palate minor salivary glands. The patient was treated with a palatal obturator prosthesis first and with an implant-supported prosthesis after surgical site’s reconstruction and complete healing.

CONCLUSIONS: The rehabilitation of the patient after maxillectomy through both these devices was an excellent option and provided clinical benefits, improving the patient’s quality of life, allowing the patient’s reinsertion into society.

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