ingrijirea pacientilor cu defecte maxillare faciale si
TRANSCRIPT
Evaluation 10 years
OMS-MFP healthcare
for Patients
2010-2020 PMSI- UMCG
Robert van Oort, Rodica Mindruta Stratan, H Reintsema,,
ww.smilesformoldova.eu
9 Oktobre 2020
Ingrijirea pacientilor cu
defecte maxillare faciale
si reabilitare protetica
2010 – 2020
PMSI -UMCG
1 introduction – scurta evaluare
2 patients – pacienti maxillo-faciali
3 analysis – analiza ingrijirii patientului
4 conclusion - concluzie
Projectplan for the MFP for
LAMIC initiative for
PMSI Head and Neck oncology
by University Medical Centre
Groningen
2007 – 2010 - 2020
The scope of the project in
2007 was starting a MFP
service for care in the PMSI
Institute of Oncology
Training of MFP specialists
A health care team for these
types of HN cancer consists of
specialists cooperating in a
team of many disciplines
Delivery of equipment
Off site support
Assessment after 2 and 10 yrs.
• Scopul proiectului in 2008 a fost initierea unui serviciuMFP in Institutul Oncologic
• Echipa de specialisti pentruaceste tipuri de cancercoopereaza multidisciplinar: protezist, oncolog, ingrijiripaliative, tehnician
• Echipa multidisciplinara
Proiectul Institutului Oncologic
si Universitatii Groningen in
domeniul oncologiei Cap si Git
2007- 2010 - 2015
1
Preparation – Pregatire din
2007 to 20101 Projectplan with 5 objective
goals and attain International
collaboration
3 Financial resources – “Smiles
for Moldova” Kayaktour of
“Jorgen van de Pol “ and 7
major sponsors
4 With support of PUM 5
management consults were
organized in 3 years
5 To come to an agreement with
direction van het Oncologisch
Hospital, Clinical ward 3rd floor
and dep. of palliative care
6 Contract with NGO’s and local
constructors and suppliers
1 Plan de proiect for 5 ani
2 Colaborate internationala
3 Strangerea de fonduri financiare in
Olanda “ zambete de fond pentru
Moldova excursie du caiacul Jorgen
van der Pol
4 Incepe cu cinci consultari de
management cu PUM din HAGA,
Nl,
5 Ajunge la un contract cu
Conducerea PMSI, MFP, sectia
clinic 3 etaj ,Dep. ingrijri paliative
6 Contracta cu constructorii locale si
furnizorii locali si compania de
asigurari.
Construction process and final result 2009-2010
Procesul de constructie si rezultatul final
2010 Deschidere oficiala - Opening2010 Deschidere oficiala - Opening
2009 inceputul
constructiei
2009 inceputul
constructiei
Course in Maxillofacial
prosthetics in UMCG 2010 and
10 training workshops in PMSI
2011-2015
Teachers: dr Robert van Oort, Dr Harry Reintsema and drAnton Strabbing and Gerrit van Dijk
Treatment plan and specific prosthetictechniques
❑ Specilaisti: RodicaMindruta, ValentinaLuca si Ivan Vilcu
❑ Pavel Dulghieru
❑ Instruire inplan de tratamentul si technicaprothetica a specifica
Curs maxilo-facial in UMCG
2010 si 10 ateliere de instruire a
patientilor in PMSI 2011-2015
4
Echipa multidisciplinara in oncologia cap si git
din IMSP Institutul Oncologic 2010 -2020
PMSI multidisciplinary Team of Specialists coordinator
Dr Rodica Mindruta
Surgeon oncologist
Prosthetic technician
Palliative care doctor
Radiotherapist
Chemotherapist,
Reconstructive surgeon
Maxillofacial prosthodontist
Calitatea
vietii
Echipa de specialisti in oncologie
cap si git, coordonator
Dr. Rodica Mindruta
Tratament multidisciplinarTratament multidisciplinar
Case presentations of facial
rehabilitation
PMSI/Chisinau
Secvente de caz de reabilitaremaxillare faciala
PMSI/Chisinau
2
Cazuri clinice orofaciale
Impactul
defectelor asupra
pacientilor:
Imagine sociala
afectata de
deficiente de
vorbire, deglutitie,
respiratie si
defecte faciale in
aspect estetic
Mr. G. trauma,
(25yrs) surgery (evisceration)
and prosthetics
P-tul G. Trauma, (25 ani)
chirurgie (eviscerare)
si protezare Oculara
Melanoma cancer-surgery and
maxillofacial-prostheticsMelanom, tratat Chirurgical
si Protezat Oculara
Mr. G, (1938) cancer ,oral, maxilla
and orbit
surgery, radiotherapy,
maxillofacial prosthetics
P-l . G, (1938) Cancer maxilar,
proces alveolar, orbita –
Operatie, Radiotherapie,
Protezare faciale OMF
Mr. A.V. Squamous cell carcinoma
maxillary sinus and orbita
Surgery, Radiotherapy
Maxillofacial prosthetics
P-tul A. V. orbita si sinus maxilar
cancer pavimentos, Radioterapie
si Protezare maxilofaciala
Mrs. G: Squamous cell
cancer-surgery and
maxillofacial-prosthetics
P-ta G : Cancer pavimentos,
tratat Chirurgical
si Protezare Nazale
Mr L. cancer ear,
surgery, maxillofacial prosthetics
P-tul L. Cancerul pavilionului
auricular - Chirurgie,
Protezare auriculara
1) Proteza oculara 579
2) Proteza auriculara/nazale 15
3) Proteza Maxilar definitive 73
4) Proteza Faciala 17
5) Proteza Combinata 6
6) Proteza orbitala 38
7) Consultatiile pacientilor 1240
8) Total proteza tratati 733
9) Total palenti tratata mfp 1968
PMSI: Numar total de
pacienti tratati [2010 -2020]
OMS-MFP patienti tratare 2010 – 2020
in fiecare an numeral tot mai mare
proteze
patientcare
05022011 2010..2011..2012.2013..20014…2015…2016….2017…2018.. 2019…2020 ^ Total2010..2011..2012.2013..20014…2015…2016….2017…2018.. 2019…2020 ^ Total
>733
.
.
.
>1968
.
>733
.
.
.
>1968
.
Toate datele de
la drLuca and
dr Mindruta si
asistenti
dentari.
Toate datele de
la drLuca and
dr Mindruta si
asistenti
dentari.
Conclusion:
The initiation of the PMSI
centre for maxillofacial
prosthetics is successfull
1) 1) Number and qualityrehabilitation of treatedpatients is achieved and excellent
2) 2) Equipment in optimalcondition and used daily
3) 3) Agreement withinsurance need update fortrauma patients
4) 4) Materials available
5) 5) Implant service for the future
6) CADCAM method
1) Numarul de pacienti tratati siindicii de calitate planificatiau fost atinsi excelent
2) Nivelul planificat de pregatire a personalului –realizat
3) Acord cu CNAM are nevoiede modificare pentru a include pacientii cu traumatisme
4) Livrare de materialecontinuitate
5) Metoda de implantareintrodusa
Concluzie:
Initierea centrului de protezare
OMF este cu succes
5
Multumiri la: participanti
❑Prof Sofroni
❑Prof Tsibirna
❑Prof Cernat and Prof Catrinici
❑Dr Mindruta & Dr Pogonet, Dr. Luca and Mr Vilcu and MR. Dulghieru
❑PMSI specialists in H & N oncology and microsurgery
❑Jorgen van der Pol, sponsoraction by kayak
❑IR George Hille – Urgenta
❑ACASA
❑Construction- and Sales companies in Moldova
❑Foundation Smiles for Moldova and UMCG
❑Many Sponsors –National Academic, NCDO, Janivo, Dutch Ambassee , UMCG, and Dutch material sponsors .
6
Excellent development of
maxillofacial Prosthetics care by
chairwoman Dr Mindruta and
prosthetist stomatologist Dr Valentina
Luca and technician Vilcu and
Dulgieru
2007- 2010 - 2020
Dezvoltare de succes al
serviciului de Protezare OMF su
presedintele dr Mindruta si
stomatolog dr Valentina Luca
And Vilcu and Dulgieru 2007- 2010 – 2020