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TRANSCRIPT
tal implant placement but also provides the opportunityto customize a prosthetic device, as seen in this clinicalreport.
Previous methods of making an impression of an in-accessible location would have been difficult for boththe operator and patient. These methods normally re-quire that the patient be subjected to conscious sedationand sometimes general anesthesia.3 With CT technol-ogy, only a noninvasive diagnostic appointment isneeded with the patient conscious and coherent. A CTscan printout of the nasopharynx in 1-mm sections wasthe only thing necessary for fabrication of the nasopha-ryngeal appliance. Thin-slice CT scans have excellentspatial resolution and can serve as highly accurate 3-di-mensional representations of a patient’s actual anatomy(Timmerman RD, written communication, 2001).
SUMMARY
The use of CT to design and fabricate a custom radi-ation carrier for a patient with rhabdomyosarcoma of thenasopharynx has been described. Previous methods ofimpression making would have been more expensiveand invasive and would have required an additional ap-pointment. With the CT method, the patient had to beavailable only for a conventional thin-cut scan; no fittingappointments or anesthesia were necessary. The proce-dure allowed for precise fabrication of a carrier on thebasis of an accurate representation of the undistortedarea.
REFERENCES1. Beumer J, Curtis TA, Marunick MT. Maxillofacial rehabilitation. St. Louis:
Ishiyaku EuroAmerica Inc; 1996. p. 50-60.2. Rosenstein HE, DeMasi V, Fine L, Fattore L. Radiation carrier for treatment
of nasopharyngeal carcinomas. J Prosthet Dent 1987;58:617-9.3. Cano ER, Seckinger RJ, Zaki H, Yoder VE. Nasopharyngeal impression
technique for fabrication of a radiation carrier. J Prosthet Dent 1989;61:340-2.
4. Arksornnukit M, McKinstry RE, Cwynar RB. Silicone nasal radiation car-riers. J Prosthet Dent 1992;67:516-8.
5. Saunders TR. Revised technique for intracavity radiation of the nasophar-ynx. J Prosthet Dent 1980;44:562-6.
6. Herring HW Jr, Greene PE. Use of a complete denture as a radiationcarrier. J Prosthet Dent 1983;49:803-4.
7. Kabcenell JL. A two-piece radiation therapy surface mold. J Prosthet Dent1980;43:86-8.
8. Randall ME, Salisbury PL 3rd, Schmidtke M. Afterloaded radiation carrierfor carcinoma of palate. A clinical report. J Prosthet Dent 1988;60:655-9.
9. Bauer M, Schulz-Wendtland R, Fritz P, von Fournier D. Brachytherapy oftumour recurrences in the region of the pharynx and oral cavity by meansof remote-controlled afterloading technique. Br J Radiol 1987;60:477-80.
10. Minsley GE, Rothenberg S. Use of the afterloading technique for intraoralradiation carriers. J Prosthet Dent 1985;53:676-8.
11. Matz JF, Robinson JE. Silicone rubber radium carriers for the treatment ofnasopharyngeal carcinomas. Oral Surg Oral Med Oral Pathol 1971;32:716-22.
Reprint requests to:DR CARL ANDRES
DEPARTMENT OF RESTORATIVE DENTISTRY
INDIANA UNIVERSITY SCHOOL OF DENTISTRY
1121 W. MICHIGAN ST
INDIANAPOLIS, IN 46202-5186FAX: (317)274-9544E-MAIL: [email protected]
Copyright © 2003 by The Editorial Council of The Journal of ProstheticDentistry.
0022-3913/2003/$30.00 � 0
doi:10.1067/mpr.2003.17
New product news
The January and July issues of the Journal carry information regarding new products of inter-est to prosthodontists. Product information should be sent 1 month prior to ad closing date to:Dr. Glen P. McGivney, Editor, UNC School of Dentistry, 414C Brauer Hall, CB #7450, ChapelHill, NC 27599-7450. Product information may be accepted in whole or in part at the discretionof the Editor and is subject to editing. A black-and-white glossy photo may be submitted toaccompany product information.
Information and products reported are based on information provided by the manufacturer.No endorsement is intended or implied by the Editorial Council of The Journal of Prosthetic Dentistry,the editor, or the publisher.
THE JOURNAL OF PROSTHETIC DENTISTRY VAN DERHEI ET AL
18 VOLUME 89 NUMBER 1