Fabrication of an immediate surgical obturator for a patient with resection of the maxillary antrum and bony orbital floor.
An immediate surgical obturator is necessary for maxillectomy procedures to minimize functional disabilities in speech, swallowing, and egress of food and liquid into the surgical defect. Sometimes the extent of the tumor may be such that it may even require the removal of the maxillary sinus along with resection of the orbital floor. The resected orbital floor can be surgically reconstructed with autogenous soft and/or hard tissues or with alloplastic materials. This clinical report highlights one such situation where the surgical resection of the maxilla and the orbital floor were rehabilitated with an immediate surgical obturator extending to the orbital floor to support the visual apparatus.
Private practice, Kolkata, India.
Dipanjana
D
Sinha
Clinical Tutor, Department of Prosthetic Dentistry, Burdwan Dental College & Hospital, West Bengal, India. Electronic address: sauravbnrj@gmail.com.
Saurav
S
Banerjee
Private practice, Kolkata, India.
Swagato
S
Chowdhury
D002294:Carcinoma, Squamous Cell / Q000534:rehabilitation / Q000601:surgery; D017267:Dental Prosthesis Design; D017268:Dental Prosthesis Retention; D006801:Humans; D008280:Magnetics; D008297:Male; D008441:Maxillary Neoplasms / Q000534:rehabilitation / Q000601:surgery; D008443:Maxillary Sinus / Q000601:surgery*; D008444:Maxillary Sinus Neoplasms / Q000534:rehabilitation / Q000601:surgery; D008447:Maxillofacial Prosthesis; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D009918:Orbital Neoplasms / Q000534:rehabilitation / Q000601:surgery; D010027:Osteotomy / Q000379:methods; D010158:Palatal Obturators; D011474:Prosthesis Design; D060489:Prosthesis Retention