Case Report

Immediate Oral Rehabilitation Using a Surgical Obturator with Buccal Extension After Partial Maxillectomy: a Case Report and Literature Review

Volume: 26 Number: 2 June 23, 2023
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Immediate Oral Rehabilitation Using a Surgical Obturator with Buccal Extension After Partial Maxillectomy: a Case Report and Literature Review

Abstract

Maxillary defects resulting from surgical treatment for tumors, congenital malformations, and traumas might interrupt the patient’s speech, mastication, swallowing function, and physical appearance. The surgical obturator serves to restore the continuity of the palate as an immediate prosthesis after surgery. It provides an anatomically accurate, clean scaffold for surgical dressing while supporting and keeping the facial flap pressure. We report a case of temporary immediate oral rehabilitation after partial maxillectomy. A-39-year-old female with benign right maxillary tumor. The surgical obturator design with the addition of a buccal extension. Buccal extension is a high buccal flange that supports the facial flap and consequently maintains the facial aesthetics. This obturator also serves as a scaffold for surgical dressing and temporary defect closure between the nasal and oral cavities. A brief literature review regarding oral rehabilitation using a surgical obturator after maxillectomy is also explained. Follow-up evaluation showed that the obturator supports the upper lip, lifts the nasal lobe of the affected area, and provides a more symmetrical facial feature. Oral function improvements such as swallowing, speech, and better facial profile are also observed.

Keywords

References

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  7. 7. Chaubey P, Tripathi R, Singh A. Rehabilitation of hemi‑maxillectomy with a definite one piece hollow bulb obturator. Natl J Maxillofac Surg. 2018;9(1):82–85.
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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Case Report

Authors

Publication Date

June 23, 2023

Submission Date

February 7, 2023

Acceptance Date

May 15, 2023

Published in Issue

Year 2023 Volume: 26 Number: 2

DOI

https://doi.org/10.7126/cumudj.1245791

IZ

https://izlik.org/JA66RG92NZ

Cite

RIS / Bibtex
EndNote
Putri ANK, Mulyawan I, Rizqiawan A, Wihandono A, Amir MS (June 1, 2023) Immediate Oral Rehabilitation Using a Surgical Obturator with Buccal Extension After Partial Maxillectomy: a Case Report and Literature Review. Cumhuriyet Dental Journal 26 2 211–215.

Cited By

Post-hemimaxillectomy rehabilitation as a conservative prosthetic design to enhance functionality: A case report

Dental Journal (Majalah Kedokteran Gigi)

https://doi.org/10.20473/j.djmkg.v57.i3.p215-220

Three Fixation Techniques of Immediate Surgical Obturators Following Maxillectomy - A Comparative Study

Annals of Maxillofacial Surgery

https://doi.org/10.4103/ams.ams_156_24

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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