COMPREHENSIVE MANAGEMENT OF MAXILLARY DEFECT: SURGICAL RECONSTRUCTION AND INTERIM OBTURATOR PLACEMENT

Anurag Rawat

Open Access

COMPREHENSIVE MANAGEMENT OF MAXILLARY DEFECT: SURGICAL RECONSTRUCTION AND INTERIM OBTURATOR PLACEMENT

Vol. 8 No. 11 (2022): Volume 08 Issue 11 | Pages: 01-04 |

Authors

Anurag Rawat
Post Graduate Student, Department of Prosthodontics, Chhattisgarh Dental College and Research Institute, Chhattisgarh, India

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Published Date: 2022-11-02
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Authors retain the rights to their work published in the International Journal of Medical Science and Dental Health and may republish or reproduce their own work, provided proper citation to the original publication in IJMSDH is included.

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COMPREHENSIVE MANAGEMENT OF MAXILLARY DEFECT: SURGICAL RECONSTRUCTION AND INTERIM OBTURATOR PLACEMENT. (2022). International Journal of Medical Science and Dental Health, 8(11), 01-04. https://www.ijmsdh.org/index.php/ijmsdh/article/view/40

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Abstract

Maxillary defects resulting from trauma, congenital anomalies, or tumor resection can significantly impact a patient's function, aesthetics, and quality of life. The comprehensive management of such defects requires a multidisciplinary approach to restore both form and function. This case report presents the successful treatment of a maxillary defect using a combination of surgical reconstruction and interim obturator placement. A 45-year-old patient with a large maxillary defect resulting from tumor resection underwent surgical reconstruction using microvascular free tissue transfer. Following surgery, an interim obturator was fabricated to aid in speech, mastication, and aesthetics during the healing phase. The successful integration of surgical reconstruction and interim obturator placement resulted in improved facial symmetry, functional restoration, and enhanced patient satisfaction. This case demonstrates the significance of a multidisciplinary approach in achieving optimal outcomes for patients with maxillary defects.

Keywords:

Maxillary defect, surgical reconstruction, microvascular free tissue transfer

References

Keyf F. Obturator prostheses for hemimaxillectomy patients, Journal of Oral Rehabilitation, 28, 2001, 821-829.

Lang BR, Bruce RA. Presurgical maxillectomy prosthesis, Journal of Prosthetic Dentistry, 17(6), 1967, 613-619.

Desjardins RP. Early rehabilitative management of the maxillectomy patient, Journal of Prosthetic Dentistry,38(3),1977, 311-318.

Zarb GA. The maxillary resection and its prosthetic replacement, Journal of Prosthetic Dentistry, 18(3), 1967 268-281.

Brown KE. Peripheral consideration in improving obturator retention, Journal of Prosthetic Dentistry,20(2), 1968, 176-181.

Beumer et al, Rehabilitation of maxillary defects, in Maxillofacial Rehabilitation (Hanover Park, Quintessence Publishing Co, Inc 2011) 155-212.

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