RECUPERACION FUNCIONAL DE PACIENTE CON TUMOR MAXILAR SUPERIOR E INVASION DE MUSCULATURA PTERIGOIDEA

• Main Author: Blanca Sandoval Igelmo
• Format: Article
• Language: Spanish
• Published: Ediciones Universidad de Salamanca 2018-10-01
• Series: Revista ORL
• Subjects: carcinoma adenoide quístico tumor maxilar, rehabilitación, logopedia
• Online Access: https://revistas.usal.es/index.php/2444-7986/article/view/19359

<p>ABSTRACT</p><p>INTRODUCTION</p><p>Adenoid cystic Carcinoma (CAQ) is a  salivary glands tumor with a biological behavior characterized by a high rate of local recurrences and  a rate of metstases between 40% and  60%.</p><p>It accounts for 30% of facial tumors. The treatment consists of surgery, chemotherapy and radiotherapy. Itusually causes important sequelae such as swallowing disfunction, dysartria and temporomandibular joint ankylosis. <br /><br />CLINICAL CASE</p><p>An adenoid cystic tumor that invaded the locallypterygoid musculature with a perineural extension was diagnosed in a 27-years-old patient in may 2016. As the patient is a musician, he plays the horn, he was treated by the Medicine of the Musicians Healthcare Service.  </p><p>The patient presented a partial resection of the maxilar added with an extensive exeresis of palatal veil. The tumor treatment included chemioteraphy and radiotherapy with a  successfull result and a complete illness remission.<br />PHYSICAL EVALUATION <br />Once completed the chemioteraphy and radiotherapy treatment, the phyisical evaluation determined some sequlae such as swallowing disfunction and a maxilar anquilosis with limited mouth opening. </p><p>The patient treatment consisted of physiotherapy and speech therapy with the objetive of recovering swallowing and speech function </p><p>In adtition, the pacient followed a training program of respiratory exercises.<br />EVOLUTION <br />After the traitment, we observeda complete recovery of swallowing and speech functions despite the patient was not able, at that moment, to play the horn because of a lack of structure in his palatal veil caused by the surgery.</p><p><br />DISCUSSION</p><p>In cases of extensive resection of the oral cavity, the sequelae are usually oropharyngeal dysphagia and speech disfunction. They can be avoided by using  speech therapy and phisiotherapy treatments.</p><p><br />Key words: Adenoid cystic Carcinoma, Rehabilitation, Speech Therapy </p><p> </p>