It would be useful to conduct studies using larger sample sizes to investigate QoL in patients using maxillary obturators further and to determine why certain individuals female, married, unemployed and educated have better QoL than others. Microvascular free flap reconstruction versus palatal obturation for maxillectomy defects. Head Neck. Article PubMed Google Scholar. Keyf F. Obturator prostheses for hemimaxillectomy patients.
J Oral Rehabil. Preliminary study of the impact of loss of part of the face and its prosthetic restoration. J Prosthet Dent. Surgical and prosthetic reconsiderations in patients with maxillectomy. Prosthodontic rehabilitation of hemimaxillectomy patient with permanent silicon based obturator. Google Scholar. Speech evaluation with and without palatal obturator in patients submitted to maxillectomy. J Appl Oral Sci. Prosthodontic guidelines for surgical reconstruction of the maxilla: a classification system of defects.
Prosthetic rehabilitation of a unilateral maxillary defect with an intermediate Obturator. Riaz N, Warriach RA. Quality of life in patients with obturator prostheses. J Ayub Med Coll Abbottabad.
PubMed Google Scholar. Obturator prosthesis for hemimaxillectomy patients. Natl J Maxillofac Surg. The Glossary of Prosthodontic Terms. Ninth edition. Article Google Scholar. Evaluation of the quality of life of patients with maxillofacial defects after prosthodontic therapy with obturator prostheses. Int J Oral Maxillofac Surg. Quality of life in patients with maxillectomy prostheses. Quality of life of maxillectomy patients using an obturator prosthesis. Masticatory performance in postmaxillectomy patients with edentulous maxillae fitted with obturator prostheses.
Int J Prosthodont. Whole salivary flow rates following submandibular gland resection. Psychometric properties and performance of the oral helth impact profile OHIPar among Sudanese adults. J Oral Sci. Clinical applications of visual analogue scales: a critical review.
Psychol Med. Variations in population health status: results from a United Kingdom national questionnaire survey. Bias and precision in visual analogue scales: a randomized controlled trial. Am J Epidemiol. Prospective clinical evaluation of mandibular implant overdentures: part I--retention, stability, and tissue response. Gehan FM. Clinical evaluation of the efficacy of soft acrylic denture compared to conventional one when restoring severely resorbed edentulous ridge. Quality of life of patients with maxillofacial defects after treatment for malignancy.
Health-related quality of life outcome for oral cancer survivors after surgery and postoperative radiotherapy. Jpn J Clin Oncol. Long-term quality of life after treatment of laryngeal cancer. The veterans affairs laryngeal cancer study group.
Arch Otolaryngol Head Neck Surg. BMC Cancer. Health-related quality of life after maxillectomy: a comparison between prosthetic obturation and free flap.
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Aramany MA. Basic principles of obturator design for partially edentulous patients. Part I: classification. Speech intelligibility following maxillectomy with and without a prosthesis: an analysis of 54 cases. Reconstruction of midfacial defects after surgical resection of malignancies. Clin Plast Surg. Maxillectomy and its classification.
There is a higher risk for aspirating secretions. It may be difficult to ventilate the patient adequately. Fenestrated Cuffless Tracheostomy Tube Click picture to enlarge Used for patients who have difficulty using a speaking valve There is a high risk for granuloma formation at the site of the fenestration hole. Metal Tracheostomy Tube Click picture to enlarge Not used as frequently anymore. Many of the patients who received a tracheostomy years ago still choose to continue using the metal tracheostomy tubes.
Patients cannot get a MRI. One needs to notify the security personnel at the airport prior to metal detection screening. Request an Appointment Adult Patients Already a Patient? Traveling for Care? Show me more I want to Contact Information Contact us or find a patient care location. Cuffed Tube with Disposable Inner Cannula. Click picture to enlarge. Used to obtain a closed circuit for ventilation. Inner cannulas usually only come with larger sized tracheostomy tubes.
This is a piece of rigid plastic, silicone or metal that fits inside the outer cannula when a tracheostomy tube is being inserted. It helps guide the tracheostomy tube into place, causing less damage to the tissues. The obturator must be removed immediately once the tracheostomy tube is in the trachea so that the child can breathe through the tube. You will see some letters and numbers on your child's tracheostomy tube.
These will help you make sure you are using the right tube for your child. These are ties that attach to the flanges and pass around the neck to secure the tracheostomy tube in place. Ties are usually made of soft material that repels moisture and are held together by Velcro. This small device is attached to the tracheostomy tube to provide humidity moisture when your child is awake and active.
It contains a small sponge that acts as a filter and is moistened when your child breathes. Much like the cilia small hairs in the nose, the HME removes irritating particles from the air that your child breathes in. Your health-care provider will tell you which HME is suitable for your child. Your child may produce more secretions in the first few months after a tracheotomy because they are no longer filtering air through their nose. The HME on the end of the tracheostomy tube can help reduce the amount of particles your child breathes in, which in turn reduces the amount of secretions.
The following criteria will need to be met before cuff deflations will be considered:. A speaking valve is a one-way valve that attaches to the end of a trach tube. It is designed to open when the patient takes a breath and close when the patient exhales. When the valve closes, it forces air up into the airway and across the vocal cords, allowing for sound and speech.
The patient will breathe in through the trach and exhale out through the nose and mouth. Placement of a speaking valve should initially be done by a respiratory therapist, pulmonary doctor, or nurse practitioner. Capping a patient who has an inflated cuff can result in DEATH because this would not allow a patient to breathe in, out or both. A tracheostomy cap red cap covers the opening of the trach tube and blocks air from entering the tube.
This forces the patient to breathe in and out through their nose and mouth. This is often the last step before the trach is removed decannulation. If the trach can be capped for a long enough time without any problems, it is probably safe to be removed. Patients on ventilators can be allowed to speak by doing partial cuff deflations.
The respiratory therapist will deflate the cuff enough for air to leak past the tube and across the vocal cords but will leave enough air in the cuff to allow for proper ventilation of the patient. If the cuff were completely deflated, all of the air would escape out of the nose and mouth and would not be delivered to the lungs as a breath. After the stoma is clean, place a gauze pad under the trach tube. A plastic trach tube should be replaced every two weeks.
Keeping the trach site clean and replacing the tubes regularly will help keep your patient healthy and free from infection. The length of time a tracheotomy tube stays in place depends on why it was required in the first place.
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