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HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel. +41 78 6041348, Dental Protector ® The perfect protection.

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Presentation on theme: "HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel. +41 78 6041348, Dental Protector ® The perfect protection."— Presentation transcript:

1 HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel , Dental Protector ® The perfect protection for tele- and brachytherapy of head and neck tumors HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan,

2 HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel , Problem No exact repeatable positioning of facial soft parts (tongue, lips, cheeks) No exact repeatable mouth opening

3 HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel , OUR SOLUTION - DENTAL PROTECTOR ® exact repetition of lower jaw and soft part position reduction of radiation side effects optimizing of the radiation target volume Upper jaw Tongue mould Lower jaw Lip mould

4 HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel , DENTAL PROTECTOR ® individually produced for each patient independent of patient‘s denture takes into account patient‘s anatomy adaptable to special therapy requirements fulfils all GEC-ESTRO recommendations patented (pat. no. HI8903/ ) CE- certified procedure Upper jaw Tongue mould Lower jaw Lip mould

5 HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel , DENTAL PROTECTOR ® daily exact repeatable: mouth opening tongue position lip position cheek position Upper jaw Tongue mould Lower jaw Lip mould

6 HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel , Field of applications  Protection of facial soft parts (tongue, lips, cheeks) by Teletherapy Brachytherapy  Tumors of the floor  Oropharyngeal tumors  Nasopharyngeal tumors  Tumors of the nasal cavity and the paranasal sinuses of

7 HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel , years, female, squamous cell- and tongue carcinoma, cT4 cN0 M0 G2; neoadjuvante RTX 50 Gy, Mitomycin C, 5-FU Radiation of (floor of mouth) squamous cell- tongue carcinoma EXAMPLE 1: Extensive radical radiation therapy under maximum protection of the lawer jaw and upper jaw by using a tongue- and lip shield. THERAPY-GOAL: Clinical experiences Upper jaw Lip moud

8 HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel , Operation: ypT0; no radiation side effects on the lower lip and upper jaw RESULT: Planning- CT with isodosedistribution: lower lip outside of high dosage area (arrow) End of radiotherapy: no radiation side effects in lower lip Clinical experiences => aim of therapy accomplished!

9 HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel , Clinical experiences displacement of lips and labial angles EXAMPLE 2: Hibrand Dental Protector ® with laterally accentuated lower and upper lip mould for anterior displacement of the labial angles. Hibrand Dental Protector ® in situ with formation of a “duck’s bill”, thereby dis- placement of the lips and labial angles out of the lateral radiation fields. Radioopaque marking for better demarcation of the tongue (arrow) in the planning CT scan. Upper series: Lower series:

10 HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel , Clinical experiences anterior tongue displacement EXAMPLE 3: Hibrand Dental Protector ® with double tongue moulds (arrows) for active anterior displacement of the tongue. Hibrand Dental Protector ® in situ with clinical active anterior displacement of the mobile tongue (arrows) moved out of radiation field. Upper series: Lower series:

11 HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel , Clinical experiences cheek and tongue displacement EXAMPLE 4: Hibrand Dental Protector ® with a lateral mould for cheek (arrow) and tongue displacement each (black arrow). Hibrand Dental Protector ® in situ in the planning CT-scan: cheek (arrow) and tongue displacement (black arrow), displacement out of high dosage area. Upper series: Lower series:

12 HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel , Clinical experiences brachytherapy – detachable lead shielding EXAMPLE 5: Hibrand Dental Protector ® on a stone cast: Without and with detachable lead shielding. Daily repeatable positioning of both jaws and the lead shielding (fulfils all GEC-ESTRO recommendations 2009).

13 HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan, Tel , HIBRAND Establishment, Im alten Riet 121, LI-9494 Schaan Tel ,


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