Surgical obturator as an immediate prosthesis post hemimaxillectomy of palatal squamous cell carcinoma: A case report

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of International Oral Health Pub Date : 2022-09-01 DOI:10.4103/jioh.jioh_251_21

R. Sitalaksmi, M. Ari, Karina Mundiratri, R. Sanjaya, T. Pramesti, A. Dahlan

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Abstract

Surgical management of oral squamous cell carcinoma results in significant defects in the oral and maxillofacial regions. This case study aims to support the formation of an intraoral defect profile, shorten recovery time, and improve the patient’s psychological aspects by inserting a postoperative surgical obturator. A 44-years-old male presented to Dental Hospital Universitas Airlangga at the referral from General Hospital Dr. Soetomo Head and Neck Surgery Department due to recurrent palatal squamous cell carcinoma. The patient required a surgical obturator to restore anatomical defect post-hemimaxillectomy. Multidiscipline discussion forums were performed to determine the plan for tissue removal, and the prosthodontist designed the surgical obturator. The design was made utilizing the retention of the remaining 17 and 27 teeth with Adams claps. In this case, mechanical retention was achieved by a wire, which was attached to the zygoma bone. The artificial teeth were arranged in the anterior area to improve aesthetic, while in the posterior region, the artificial teeth were not used to minimize the masticatory loading. Surgical obturator improved the masticatory function and psychology of the patient.

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腭部鳞状细胞癌半上颌骨切除术后即刻修复的手术闭孔1例

口腔鳞状细胞癌的外科治疗会导致口腔颌面部的严重缺陷。本病例研究旨在通过插入术后手术闭孔来支持口内缺损轮廓的形成，缩短恢复时间，并改善患者的心理状况。一名44岁男性因复发性腭鳞状细胞癌，在综合医院Soetomo头颈外科医生的转诊下被送往Airlangga大学牙科医院。患者需要手术闭孔来恢复半上颌骨切除术后的解剖缺陷。进行了多学科讨论论坛，以确定组织切除的计划，修复学家设计了手术闭孔。该设计是利用亚当斯咬合保留剩余的17颗和27颗牙齿。在这种情况下，通过连接到颧骨上的金属丝来实现机械保持。将假牙布置在前部区域以提高美观性，而在后部区域，不使用假牙以最小化咀嚼负荷。手术闭孔改善了患者的咀嚼功能和心理。

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来源期刊

Journal of International Oral Health Dentistry-Dentistry (all)

CiteScore

1.00

自引率

14.30%

发文量

期刊介绍： It is a journal aimed for research, scientific facts and details covering all specialties of dentistry with a good determination for exploring and sharing the knowledge in the medical and dental fraternity. The scope is therefore huge covering almost all streams of dentistry - starting from original studies, systematic reviews, narrative reviews, very unique case reports. Our journal appreciates research articles pertaining with advancement of dentistry. Journal scope is not limited to these subjects and is more wider covering all specialities of dentistry follows: Preventive and Community Dentistry (Dental Public Health) Endodontics Oral and Maxillofacial Pathology Oral and Maxillofacial Radiology Oral and Maxillofacial Surgery (also called Oral Surgery) Orthodontics and Dentofacial Orthopaedics Periodontology (also called Periodontics) Pediatric Dentistry (also called Pedodontics) Prosthodontics (also called Prosthetic Dentistry) Oral Medicine Special Needs Dentistry (also called Special Care Dentistry) Oral Biology Forensic Odontology Geriatric Dentistry or Geriodontics Implantology Laser and Aesthetic Dentistry.