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