Chairside Fabrication of Immediate Surgical Obturator for a Hemimaxillectomy Patient.

DR.RAJESH SHETTY; DR.FAHAD MOHAMMAD; DR.SAYED M KILLEDAR; DR.JAGADISH CHANDRA; DR.PRATHIMA SHETTY

Volume : IV, Issue : III, March - 2015

Chairside Fabrication of Immediate Surgical Obturator for a Hemimaxillectomy Patient.

Dr. Rajesh Shetty, Dr. Fahad Mohammad, Dr. Sayed M Killedar, Dr. Jagadish Chandra, Dr. Prathima Shetty

Abstract :

Maxillary carcinoma treatment often involves the surgical removal of all or part of the maxilla. This resection is often accompanied by dysfunction and disfigurement affecting the speech, esthetics, deglutition and mastication of the patient. The surgical treatment involves reconstruction of the region of the oral cavity from which the tumour is removed at the same time of the resection. The immediate surgical obturator is a proven treatment option in such situations. This article describes a simple chairside technique to faicate a surgical obturator which replicates the patient�s original teeth and palatal tissue forms using silicone putty index. Replication of the patient�s original tooth colour, size and shape in the surgical obturator helps overcome the immense postsurgical psychological trauma the patient undergoes. This maxillofacial prosthesis devoid of occlusal contact helps restore phonetics, esthetics, mastication, better provision for soft diet, minimizes scar contracture and aids in soft tissue support during the healing phase; thereby impacting patient�s postsurgical quality of life.