<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-199X</journal-id>
<journal-title><![CDATA[Revista odontológica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Odont. Mex]]></abbrev-journal-title>
<issn>1870-199X</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Odontología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-199X2017000200121</article-id>
<article-id pub-id-type="doi">10.1016/j.rodmex.2017.05.008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Rehabilitación protésica híbrida en un defecto orofacial. Presentación de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Prosthetic hybrid rehabilitation in orofacial defect. Case presentation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jerez Moreno]]></surname>
<given-names><![CDATA[Juan Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Terán]]></surname>
<given-names><![CDATA[José Federico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Cardín]]></surname>
<given-names><![CDATA[Vicente]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UNAM Facultad de Odontología Especialidad de Prótesis Maxilofacial]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UNAM Facultad de Odontología División de Estudios de Postgrado e Investigación]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Cancerología Servicio de Prótesis Maxilofacial ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>21</volume>
<numero>2</numero>
<fpage>121</fpage>
<lpage>126</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-199X2017000200121&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-199X2017000200121&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-199X2017000200121&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Los procesos tumorales que comprometen la región de cabeza y cuello, pueden afectar particularmente la identidad del ser humano. Para la eliminación de estas neoplasias existen diferentes alternativas terapéuticas, que generan secuelas de tipo funcional, afectando: la fonación, deglución y masticación, además de defectos estéticos y alteraciones psicológicas. Por consiguiente, el enfoque para el tratamiento de pacientes con cáncer se basa no solamente en el control de la enfermedad, sino también en la supervivencia, rehabilitación y su reintegración a la sociedad. A continuación se presenta el caso de un paciente con defecto orofacial, resultado del tratamiento ante un carcinoma basocelular, con radioterapia y su posterior resección quirúrgica tras recidiva tumoral. Se rehabilita mediante la elaboración de una prótesis híbrida (obturador intraoral y prótesis facial) con el objetivo de compensar parcialmente las pérdidas funcionales, estéticas, incidiendo positivamente en su estado psicosocial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Tumor processes compromising the head and neck region can particularly affect the identity of the human being. There are different therapeutic alternatives to remove these dysplasias, which generate functional sequels affecting phonation deglutition and mastication. Therefore, approach for cancer patients is not only based on control of the disease, but additionally in patient's survival, rehabilitation and reinsertion in society. We hereby present the case of a patient with an orofacial defect resulting from treatment of basal cell carcinoma with X-ray therapy and later surgical resection after tumor recurrence. The patient was rehabilitated with manufacture of a hybrid prosthesis (intraoral obturator and facial prosthesis) which was achieved with the purpose of partially compensating functional and aesthetic losses and thus improving the patient's psychosocial circumstances.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Rehabilitación maxilofacial]]></kwd>
<kwd lng="es"><![CDATA[obturador palatino]]></kwd>
<kwd lng="es"><![CDATA[prótesis facial]]></kwd>
<kwd lng="en"><![CDATA[Maxillofacial rehabilitation]]></kwd>
<kwd lng="en"><![CDATA[palatal obturator]]></kwd>
<kwd lng="en"><![CDATA[facial prosthesis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Epidemiología y etiología del cáncer de la cabeza y el cuello]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tirado-Gómez]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Granados]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Cancerología.]]></source>
<year>2007</year>
<volume>2</volume>
<page-range>9-17</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[Base de Datos Global de la OMS (InfoBase). Cáncer datos y estadísticas]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[El cáncer de cabeza y cuello. Factores de riesgo y prevención]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gallegos-Hernández]]></surname>
<given-names><![CDATA[J.F.]]></given-names>
</name>
</person-group>
<source><![CDATA[Cir Ciruj.]]></source>
<year>2006</year>
<volume>74</volume>
<page-range>287-93</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="book">
<article-title xml:lang=""><![CDATA[Restoration of acquired hard palate defects]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Beumer]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Curtis]]></surname>
<given-names><![CDATA[T.A.]]></given-names>
</name>
</person-group>
<source><![CDATA[Maxillofacial rehabilitation, prosthodontic and surgical considerations]]></source>
<year>1996</year>
<page-range>268-9</page-range><publisher-loc><![CDATA[St. Louis ]]></publisher-loc>
<publisher-name><![CDATA[Ishiyaku Euro America]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="">
<article-title xml:lang=""><![CDATA[Prosthodontic rehabilitation of acquired maxillofacial defects]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mantri]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[Z.]]></given-names>
</name>
</person-group>
<source><![CDATA[Head and Neck Cancer]]></source>
<year>2012</year>
<page-range>315-36</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Use of obturators in rehabilitation of maxillectomy defects]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Borlase]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<source><![CDATA[Ann R Australas Coll Dent Surg.]]></source>
<year>2000</year>
<volume>15</volume>
<page-range>75-9</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Facial prosthetic rehabilitation: preprosthetic surgical techniques and biomaterials]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lemon]]></surname>
<given-names><![CDATA[J.C.]]></given-names>
</name>
<name>
<surname><![CDATA[Kiat-Amnuay]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Gettleman]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Martin]]></surname>
<given-names><![CDATA[J.W.]]></given-names>
</name>
<name>
<surname><![CDATA[Chambers]]></surname>
<given-names><![CDATA[M.S.]]></given-names>
</name>
</person-group>
<source><![CDATA[Curr Opin Otolaryngol Head Neck Surg.]]></source>
<year>2005</year>
<volume>13</volume>
<page-range>255-62</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Alternativas reconstructivas post maxilectomía por enfermedad neoplásica]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yáñez]]></surname>
<given-names><![CDATA[M.R.]]></given-names>
</name>
<name>
<surname><![CDATA[Loyola]]></surname>
<given-names><![CDATA[B.F.]]></given-names>
</name>
<name>
<surname><![CDATA[Alcocer]]></surname>
<given-names><![CDATA[C.D.]]></given-names>
</name>
<name>
<surname><![CDATA[Cornejo]]></surname>
<given-names><![CDATA[F.J.]]></given-names>
</name>
<name>
<surname><![CDATA[Valenzuela]]></surname>
<given-names><![CDATA[G.M.]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[R.R.]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Chil Cir.]]></source>
<year>2014</year>
<volume>66</volume>
<page-range>30-7</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Uso de obturadores en cirugía oral y maxilofacial: presentación de cinco casos clínicos]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Velázquez-Cayón]]></surname>
<given-names><![CDATA[R.T.]]></given-names>
</name>
<name>
<surname><![CDATA[Flores-Ruiz]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Torres-Lagares]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[González-Guerrero]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[González-Padilla]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez-Pérez]]></surname>
<given-names><![CDATA[J.L.]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Esp Cirug Oral y Maxilofac.]]></source>
<year>2011</year>
<volume>33</volume>
<page-range>22-6</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prótesis maxilofacial ¿prótesis mixta, o combinada?]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torné-Duran]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Monreal-Nieto]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[González-González]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<name>
<surname><![CDATA[Escuin- Henar]]></surname>
<given-names><![CDATA[T.J.]]></given-names>
</name>
</person-group>
<source><![CDATA[RCOE.]]></source>
<year>1999</year>
<volume>4</volume>
<page-range>587-93</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prótesis híbrida en maxilectomía total. Caso clínico]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torres-Terán]]></surname>
<given-names><![CDATA[J.F.]]></given-names>
</name>
<name>
<surname><![CDATA[Jiménez]]></surname>
<given-names><![CDATA[C.R.]]></given-names>
</name>
<name>
<surname><![CDATA[Bernal]]></surname>
<given-names><![CDATA[A.R.]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Odont Mex.]]></source>
<year>2011</year>
<volume>15</volume>
<page-range>122-5</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Augmentation of obturator retention by extension into the nasal aperture]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pigno]]></surname>
<given-names><![CDATA[M.A.]]></given-names>
</name>
<name>
<surname><![CDATA[Funk]]></surname>
<given-names><![CDATA[J.J.]]></given-names>
</name>
</person-group>
<source><![CDATA[J Prosthet Dent.]]></source>
<year>2001</year>
<volume>85</volume>
<page-range>349-51</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Hybrid gate design frameworks for the rehabilitation of the maxillectomy patient]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marunick]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<source><![CDATA[J Prosthet Dent.]]></source>
<year>2004</year>
<volume>91</volume>
<page-range>315-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Magnetretained facial prosthesis combined with maxillary obturator]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hatami]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Badrian]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Samanipoor]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Goiato]]></surname>
<given-names><![CDATA[M.C.]]></given-names>
</name>
</person-group>
<source><![CDATA[Case Rep Dent.]]></source>
<year>2013</year>
<volume>2013</volume>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Use of a magnetic attachment to retain an obturator prosthesis for an osseous defect]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kawamoto]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Hamamura]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Kawahara]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Nishi]]></surname>
<given-names><![CDATA[Y.]]></given-names>
</name>
<name>
<surname><![CDATA[Nagaoka]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
</person-group>
<source><![CDATA[J Prosthodont.]]></source>
<year>2009</year>
<volume>18</volume>
<page-range>359-62</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Quality of life of maxillectomy patients using an obturator prosthesis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kornblith]]></surname>
<given-names><![CDATA[A.B.]]></given-names>
</name>
<name>
<surname><![CDATA[Zlotolow]]></surname>
<given-names><![CDATA[I.M.]]></given-names>
</name>
<name>
<surname><![CDATA[Gooen]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Huryn]]></surname>
<given-names><![CDATA[J.M.]]></given-names>
</name>
<name>
<surname><![CDATA[Lerner]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Strong]]></surname>
<given-names><![CDATA[E.W.]]></given-names>
</name>
</person-group>
<source><![CDATA[Head Neck.]]></source>
<year>1996</year>
<volume>18</volume>
<page-range>323-34</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Health-related quality of life after maxillectomy: a comparison between prosthetic obturation and free flap]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rogers]]></surname>
<given-names><![CDATA[S.N.]]></given-names>
</name>
<name>
<surname><![CDATA[Lowe]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[McNally]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[J.S.]]></given-names>
</name>
<name>
<surname><![CDATA[Vaughan]]></surname>
<given-names><![CDATA[E.D.]]></given-names>
</name>
</person-group>
<source><![CDATA[J Oral Maxillofac Surg.]]></source>
<year>2003</year>
<volume>61</volume>
<page-range>174-81</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
