A customized extra -orally retained delayed surgical obturator for a bilateral maxillectomy patient having mucormycosis

Author: 
Poonam Kadain., Shefali Goel., Rekha Gupta and Shubhra Gill

The primary goal of prosthodontic rehabilitation of a bilateral maxillectomy patient during interim period is to close the oro-antral communication with a retentive and stable prosthesis which allow the patient to meet his nutritional and communication needs. Due to absence of any intra oral supporting and retentive structures, it was planned to restore the patient’s functional needs with a customized extra orally retained prosthesis. Headgear (elastic straps and stainless- steel hooks), 19-gauge wire and auto polymerizing acrylic resin plate were used to fabricate the prosthesis. This treatment option was a viable approach in total maxillectomy patient particularly in those cases where other intra oral aids were not possible. Patient gave positive functional result with the prosthesis like did not interfere with normal mandibular movements, speech improved over time, convenience of altering the retention, quick evaluation of recurrences as well as economical to the patient. So, this extra orally retained prosthesis would be a good alternative to retain the obturator in the bilateral maxillectomy patients.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2022.74.0015
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