| Popis: |
Patients with advanced carcinomas of the maxillary sinus are often treated with surgical resection by maxillectomy and face several complications including change and difficulty in speech, deglutition, mastication and esthetics, as well as psychological discomfort following the surgery. Most of difficulties can be overcome, to an extent, with the placement of an immediate surgical obturator. This clinical report describes the fabrication of a removable immediate surgical obturator for a patient with stage 4 carcinoma of the maxilla, which uses the patient's original occlusion and tooth position, made prior to the surgical resection and inserted at the time of surgery, to provide the patient with a means of masticatory efficiency, esthetics and psychological comfort during the healing period. Clinical Relevance to Interdisciplinary Dentistry Highlights a team effort in the management of oral and facial carcinomas - Surgeon, Pathologist and Prosthodontist. Provides a stable foundation for fabrication of future prosthesis. Prosthetics to aid in the surgical management of scar tissues. Esthetics and facial form maintained following surgery, minimizing post-surgical patient depression. |
