Treatment Snapshot
March 24, 2010
Excerpt from "Only 10 Seconds to Care"
December 23, 2009 – Wendy Harpham, MD
Cancer as a Turning Point
December 23, 2009 – Don Vaughan
Best Face Forward
December 23, 2009 – Lacey Meyer
Recipes from Chef Hans Rueffert
December 20, 2009
A Skinny Chef You Can Trust
December 22, 2009 – Karen Patterson
Getting Help
December 23, 2009 – Jo Cavallo
Stress Reducers
December 23, 2009 – Laurie M. Fisher
Cisforcupid.com
December 23, 2009 – Lacey Meyer
Only 10 Seconds to Care: Help and Hope for Busy Clinicians
December 23, 2009 – Kathy LaTour
Flavored-Cigarette Ban Takes Effect, With More to Come
December 23, 2009 – Lacey Meyer
Stress, Depression & PTSD
December 23, 2009 – Laurie M. Fisher
Imaging Strategies: The Bigger Picture
December 23, 2009 – Laura Beil
Herceptin Combinations Improve Survival, Lessen Heart Toxicity
December 23, 2009 – Laura Beil
Integrative Techniques: A Sampler
December 23, 2009 – Marc Silver
Drug Therapies
December 23, 2009 – Elizabeth Whittington
Letters from Our Readers
December 23, 2009
Treatment Updates
December 23, 2009 – Staff Reports
CDC picks up the tab for colon cancer screening
December 23, 2009 – Lacey Meyer
Mutant Tissue Wanted
December 23, 2009 – Kathy LaTour
The More You Know
December 23, 2009 – Helen Osborne
Patients' Songs Take Flight
December 23, 2009 – Bunmi Ishola
Q&A: Cervical Cancer Vaccine
December 23, 2009 – Len Lichtenfeld, MD
Comfort in Strange Places
December 23, 2009 – Susie Kasinski Drummond
The 'Price' is $1 Million
December 23, 2009 – Lacey Meyer
Pancreatic Cancer Symposia
December 23, 2009
Tired of Being Tired?
December 23, 2009 – Lacey Meyer
Message From the Editor
December 23, 2009 – Debu Tripathy, MD
Beneficial Brew
December 23, 2009 – Lena Huang
Gut Reaction
December 23, 2009 – Karen Patterson
Today's Lesson: Cancer
December 23, 2009 – Bunmi Ishola
Uncertain Obligations
December 23, 2009 – Jo Cavallo
Beyond Face Value
December 22, 2009 – Terry Healey
Cancer's Silver Lining
December 22, 2009 – Don Vaughan
Kids Allowed
December 21, 2009 – Marc Silver
Layman's Terms
December 23, 2009 – Charlotte Huff
All Stressed Out
December 23, 2009 – Laurie M. Fisher
Bad Neighbors
December 22, 2009 – Laura Beil
Treatment Snapshot
March 24, 2010
Excerpt from "Only 10 Seconds to Care"
December 23, 2009 – Wendy Harpham, MD
Cancer as a Turning Point
December 23, 2009 – Don Vaughan
Currently Viewing
Best Face Forward
December 23, 2009 – Lacey Meyer
A Skinny Chef You Can Trust
December 22, 2009 – Karen Patterson
Getting Help
December 23, 2009 – Jo Cavallo
Stress Reducers
December 23, 2009 – Laurie M. Fisher
Cisforcupid.com
December 23, 2009 – Lacey Meyer
Only 10 Seconds to Care: Help and Hope for Busy Clinicians
December 23, 2009 – Kathy LaTour
Flavored-Cigarette Ban Takes Effect, With More to Come
December 23, 2009 – Lacey Meyer
Stress, Depression & PTSD
December 23, 2009 – Laurie M. Fisher
Imaging Strategies: The Bigger Picture
December 23, 2009 – Laura Beil
Herceptin Combinations Improve Survival, Lessen Heart Toxicity
December 23, 2009 – Laura Beil
Integrative Techniques: A Sampler
December 23, 2009 – Marc Silver
Drug Therapies
December 23, 2009 – Elizabeth Whittington
Letters from Our Readers
December 23, 2009
Treatment Updates
December 23, 2009 – Staff Reports
CDC picks up the tab for colon cancer screening
December 23, 2009 – Lacey Meyer
Mutant Tissue Wanted
December 23, 2009 – Kathy LaTour
The More You Know
December 23, 2009 – Helen Osborne
Patients' Songs Take Flight
December 23, 2009 – Bunmi Ishola
Q&A: Cervical Cancer Vaccine
December 23, 2009 – Len Lichtenfeld, MD
Comfort in Strange Places
December 23, 2009 – Susie Kasinski Drummond
The 'Price' is $1 Million
December 23, 2009 – Lacey Meyer
Pancreatic Cancer Symposia
December 23, 2009
Tired of Being Tired?
December 23, 2009 – Lacey Meyer
Message From the Editor
December 23, 2009 – Debu Tripathy, MD
Beneficial Brew
December 23, 2009 – Lena Huang
Gut Reaction
December 23, 2009 – Karen Patterson
Today's Lesson: Cancer
December 23, 2009 – Bunmi Ishola
Uncertain Obligations
December 23, 2009 – Jo Cavallo
Beyond Face Value
December 22, 2009 – Terry Healey
Cancer's Silver Lining
December 22, 2009 – Don Vaughan
Kids Allowed
December 21, 2009 – Marc Silver
Layman's Terms
December 23, 2009 – Charlotte Huff
All Stressed Out
December 23, 2009 – Laurie M. Fisher
Bad Neighbors
December 22, 2009 – Laura Beil

Best Face Forward

Today patients with head and neck cancer are benefiting from a multidisciplinary team for treatment.

BY Lacey Meyer
PUBLISHED December 23, 2009

When 16th-century astronomer Tycho Brahe lost part of his nose in a duel, his prosthesis options were limited—he donned a folded metal plate in the shape of a nose to cover his missing anatomy. 

Today, patients with head and neck cancer, who may lose bone, skin, teeth, or cartilage as a result of cancer surgery, find that the focus is not only on cancer control, but also on facial restoration.  This evolved functional and aesthetic approach to treatment, with a multidisciplinary team of specialists concentrated on a certain area within the full scope of facial prosthetic rehabilitation, can be life-changing for patients. 

Joseph Huryn, DDS, says he has patients who were recluses for years, unaware of facial prosthetics as a possibility. “It changes their life incredibly,” says Huryn, chief of dental service at Memorial Sloan-Kettering Cancer Center in New York City.

Depending on the cancer’s location, size, and treatment, maxillofacial prostheses can be intra-oral (within the mouth) or extra-oral (outside of the mouth). Maxillofacial prosthodontists can fabricate prostheses ranging from a resection appliance—used to replace part of the lower jaw—to an auricular (ear) prosthesis or an orbital prosthesis replacing the eye and surrounding tissues including the eyelid, socket, and sometimes part of the cheek and nose. Professionals in anaplastology—the art and science of creating artificial anatomy—specialize in the fabrication of extra-oral prostheses such as eyes, ears, noses, and limbs. 

A multidisciplinary team works with the patient and surgeon from the beginning, expanding the cancer treatment focus to include functional rehabilitation and quality of life, according to Betsy Davis, DMD.

“The team approach is critically important because it incorporates a comprehensive treatment with rehabilitation so patients have a better outcome,” says Davis, director of the division of maxillofacial prosthetics at the Medical University of South Carolina in Charleston. 

“The reconstructive surgeon, the dental/maxillofacial prosthodontist, the oral surgeon, and the speech and swallowing pathologist work as a team on the rehabilitation of the patient.” 

The surgeon removing the tumor and the maxillofacial prosthodontist or the anaplastologist creating the prosthesis determine the best approach before the surgery, deciding whether the prosthesis will be attached with adhesive, anchored to osseointegrated implants (screws placed in the bone beneath the skin), or held in place by virtue of design. 

Tissue engineering and three-dimensional medical imaging with computer-aided design and manufacturing technology will propel future developments, says Huryn, who sees a day when the patient’s own bone will be encouraged to grow into the matrix that is generated by a computer and have the same shape as before surgery.

Read the complete article, originally published in Heal Winter 2007 here.

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