상악골 악성종양의 외과적 절제후 안면 보철물을 이용한 치험례

A case report of maxillary cancer treated with total maxillectomy and orbital exenteration followed by facial prosthesis

The current treatment Philosophy for maxillary cancer is an excision of tumor in combination with X-ray radiation. Orbital exenteration is required when invasion of the orbit has occurred from a maxillary cancer. Orbitomaxillary resection results in functional and esthetic problems. There are many limitation to the surgical reconstruction after radiation therapy. And cosmetic results are less satisfactory when surgical reconstruction follows orbitomaxillary resection. This article reports squamous cell carcinoma of maxilla which occurred in a 52-year-old man. PNS CT showed soft mass occupying entire Lt. maxillary antrum, invading the ethmoid air cell and medial aspect of Lt. orbit. This presented the stage Ⅲ(T₃N₀M₀) malignacy. Agter induction chemotherapy, total maxillectomy with orbital exenteration in combination with radiation therapy was performed. Facial prosthesis with prosthetic eye was fabricated with silicone. Esthetic and functional results have been good. And there is no sign of recurrence for the present. But he must be followed for life.