Abstract
References
- 1. Dewi YA. Rekonstruksi Defek Pasca Maksilektomi. Universitas Padjajaran; 2013.
- 2. Bhandari A. Maxillary obturator. J Dent Allied Sci. 2017;6(2):78.
- 3. Deogade SC, Mantri SS, Naitam D, Dube G, Gupta P, Dewangan A. A Direct Investment Method of Closed Two-Piece Hollow Bulb Obturator. Case Rep Dent. 2013;2013:1-6.
- 4. Singh M, Bhushan A, Chand S, Kumar N. Obturator prosthesis for hemimaxillectomy patients. Natl J Maxillofac Surg. 2013;4(1):117.
- 5. Mukeshsoni J, Professor A. Interim Obturator Rehabilitation of a Maxillary Defect –Case Report. IOSR J Dent Med Sci [Internet]. 2015;14(2):2279–2861. Available from: www.iosrjournals.org
- 6. Khandare A, Akulwar R, Kodgi A. Rehabilitation of maxillectomy defect with obturator prosthesis. IOSR J Dent Med Sci. 2014;13(5):35–37.
- 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.
- 8. Shambharkar VI, Puri SB, Patil PG. A simple technique to fabricate a surgical obturator restoring the defect in original anatomical form. J Adv Prosthodont. 2011;3(2):106–109.
- 9. Murat S, Gurbuz A, Isayev A, Dokmez B, Cetin U. Enhanced retention of a maxillofacial prosthetic obturator using precision attachments: Two case reports. Eur J Dent. 2012;6(2):212–217.
- 10. Çötert HS, Türk AG, Midilli R, Gode S. Immediate Obturator with Airway for Maxillary Resection Surgery: A Case Report. Madridge J Dent Oral Surg. 2018;3(1):80–84.
- 11. Ducic Y. An effective, inexpense, temporary surgical obturator following maxillectomy. Laryngoscope. 2001;111(2):356–358.
- 12. Dalkiz M, Dalkiz AS. The effect of immediate obturator reconstruction after radical maxillary resections on speech and other functions. Dent J. 2018;6(3).
- 13. Rhamdani R, Dammar I. The Most Suitable Types of Obturator for Stomatognathic System Rehabilitation after Maxillofacial Surgery: A Systematic Review. J Dentomaxillofacial Sci [Internet]. 2019;7(1):1–4. Available from: https://jdmfs.org/index.php/jdmfs/article/view/833
- 14. Demian N, Marruffo J, McCaul J. Reconstruction of Maxillary Defects. Andersson L, Kahnberg K, Pogrel MA, editors. Wiley Blackwell. Oxford: Wiley Blackwell; 2010.
- 15. Prakash V, Gupta R. Rehabilitation Of A Hemimaxillectomy Patient With Innovative Interim Obturator Prosthesis – A Clinical Report. J Clin Diagnostic Res. 2010;4:2125–2158.
- 16. Oral K, Aramany MA, McWilliams BJ. Speech intelligibility with the buccal flange obturator. J Prosthet Dent. 1979;41(3):323–328.
- 17. Raja HZ, Saleem MN. Gaining retention, support and stability of a maxillary obturator. J Coll Physicians Surg Pakistan. 2011;21(5):311–314.
- 18. El-Fol HA, Ekkander AE, Beheiri MG, Alzaqri WA. Evaluation of the Effect of Temporarily Controlling of External Carotid Artery and Immediate Obturator Design on patients Undergoing Partial Maxillectomy. 2019;2(1095):1–7.
- 19. Joseph A, Joseph S, Mathew N, Koshy A, Jayalekshmi N, Menon S. Silicone Obturator with Reduced Bulb Extension: Enhancing Quality of Life in Post-surgical Maxillectomy Defect. J Int Oral Heal. 2016;8(8):874–878.
- 20. Farias A, Hegde C, Krishnaprasad D. A simplified technique to make an immediate surgical obturator for a maxillectomy patient. J Interdiscip Dent. 2013;3(2):125.
- 21. 21. Ali MM, Khalifa N, Alhajj MN. Quality of life and problems associated with obturators of patients with maxillectomies. Head Face Med. 2018;14(1):1–9.
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.
References
- 1. Dewi YA. Rekonstruksi Defek Pasca Maksilektomi. Universitas Padjajaran; 2013.
- 2. Bhandari A. Maxillary obturator. J Dent Allied Sci. 2017;6(2):78.
- 3. Deogade SC, Mantri SS, Naitam D, Dube G, Gupta P, Dewangan A. A Direct Investment Method of Closed Two-Piece Hollow Bulb Obturator. Case Rep Dent. 2013;2013:1-6.
- 4. Singh M, Bhushan A, Chand S, Kumar N. Obturator prosthesis for hemimaxillectomy patients. Natl J Maxillofac Surg. 2013;4(1):117.
- 5. Mukeshsoni J, Professor A. Interim Obturator Rehabilitation of a Maxillary Defect –Case Report. IOSR J Dent Med Sci [Internet]. 2015;14(2):2279–2861. Available from: www.iosrjournals.org
- 6. Khandare A, Akulwar R, Kodgi A. Rehabilitation of maxillectomy defect with obturator prosthesis. IOSR J Dent Med Sci. 2014;13(5):35–37.
- 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.
- 8. Shambharkar VI, Puri SB, Patil PG. A simple technique to fabricate a surgical obturator restoring the defect in original anatomical form. J Adv Prosthodont. 2011;3(2):106–109.
- 9. Murat S, Gurbuz A, Isayev A, Dokmez B, Cetin U. Enhanced retention of a maxillofacial prosthetic obturator using precision attachments: Two case reports. Eur J Dent. 2012;6(2):212–217.
- 10. Çötert HS, Türk AG, Midilli R, Gode S. Immediate Obturator with Airway for Maxillary Resection Surgery: A Case Report. Madridge J Dent Oral Surg. 2018;3(1):80–84.
- 11. Ducic Y. An effective, inexpense, temporary surgical obturator following maxillectomy. Laryngoscope. 2001;111(2):356–358.
- 12. Dalkiz M, Dalkiz AS. The effect of immediate obturator reconstruction after radical maxillary resections on speech and other functions. Dent J. 2018;6(3).
- 13. Rhamdani R, Dammar I. The Most Suitable Types of Obturator for Stomatognathic System Rehabilitation after Maxillofacial Surgery: A Systematic Review. J Dentomaxillofacial Sci [Internet]. 2019;7(1):1–4. Available from: https://jdmfs.org/index.php/jdmfs/article/view/833
- 14. Demian N, Marruffo J, McCaul J. Reconstruction of Maxillary Defects. Andersson L, Kahnberg K, Pogrel MA, editors. Wiley Blackwell. Oxford: Wiley Blackwell; 2010.
- 15. Prakash V, Gupta R. Rehabilitation Of A Hemimaxillectomy Patient With Innovative Interim Obturator Prosthesis – A Clinical Report. J Clin Diagnostic Res. 2010;4:2125–2158.
- 16. Oral K, Aramany MA, McWilliams BJ. Speech intelligibility with the buccal flange obturator. J Prosthet Dent. 1979;41(3):323–328.
- 17. Raja HZ, Saleem MN. Gaining retention, support and stability of a maxillary obturator. J Coll Physicians Surg Pakistan. 2011;21(5):311–314.
- 18. El-Fol HA, Ekkander AE, Beheiri MG, Alzaqri WA. Evaluation of the Effect of Temporarily Controlling of External Carotid Artery and Immediate Obturator Design on patients Undergoing Partial Maxillectomy. 2019;2(1095):1–7.
- 19. Joseph A, Joseph S, Mathew N, Koshy A, Jayalekshmi N, Menon S. Silicone Obturator with Reduced Bulb Extension: Enhancing Quality of Life in Post-surgical Maxillectomy Defect. J Int Oral Heal. 2016;8(8):874–878.
- 20. Farias A, Hegde C, Krishnaprasad D. A simplified technique to make an immediate surgical obturator for a maxillectomy patient. J Interdiscip Dent. 2013;3(2):125.
- 21. 21. Ali MM, Khalifa N, Alhajj MN. Quality of life and problems associated with obturators of patients with maxillectomies. Head Face Med. 2018;14(1):1–9.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | June 23, 2023 |
| Submission Date | February 7, 2023 |
| Published in Issue | Year 2023 |
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
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