Split Hollow Bulb Obturator to Rehabilitate Maxillary Defect: A Case Report
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- Cureus [ 2168-8184 ] ; ????.
Abstract
The rehabilitation of a maxillectomy patient involves meticulous treatment planning and designing. Lack of retention and facial support and limited mouth opening are the major issues that lead to functional and psychological trauma in post-maxillectomy patients. The successful rehabilitation of a maxillary defect includes restoring the function, esthetics, and a complete obturation of the defect, enabling the patient to feed without nasal regurgitation. This case report describes the fabrication of an obturator with a modified design, namely a split-antral hollow bulb obturator and oral part that is retained with a ball attachment, for a patient with right-side acquired maxillary defect due to recurrent myxoma. The primary advantage of this modification is enhanced facial support and a self-retentive antral obturation that improved the quality of life of the patient after an extensive maxillectomy.
Url:
DOI: 10.7759/cureus.635
PubMed: 27433414
PubMed Central: 4938627
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Lack of retention and facial support and limited mouth opening are the major issues that lead to functional and psychological trauma in post-maxillectomy patients. The successful rehabilitation of a maxillary defect includes restoring the function, esthetics, and a complete obturation of the defect, enabling the patient to feed without nasal regurgitation. This case report describes the fabrication of an obturator with a modified design, namely a split-antral hollow bulb obturator and oral part that is retained with a ball attachment, for a patient with right-side acquired maxillary defect due to recurrent myxoma. The primary advantage of this modification is enhanced facial support and a self-retentive antral obturation that improved the quality of life of the patient after an extensive maxillectomy.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Gonzalez Garcia, R" uniqKey="Gonzalez Garcia R">R González García</name></author><author><name sortKey="Rodriguez Campo, Fj" uniqKey="Rodriguez Campo F">FJ Rodríguez Campo</name></author><author><name sortKey="Naval Gias, L" uniqKey="Naval Gias L">L Naval Gías</name></author><author><name sortKey="Mu Oz Guerra, Mf" uniqKey="Mu Oz Guerra M">MF Muñoz Guerra</name></author><author><name sortKey="Sastre Perez, J" uniqKey="Sastre Perez J">J Sastre Pérez</name></author><author><name sortKey="Diaz Gonzalez, Fj" uniqKey="Diaz Gonzalez F">FJ Díaz González</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chrcanovic, Br" uniqKey="Chrcanovic B">BR Chrcanovic</name></author><author><name sortKey="Do Amaral, Mb" uniqKey="Do Amaral M">MB do Amaral</name></author><author><name sortKey="Marigo Hde, A" uniqKey="Marigo Hde A">A Marigo Hde</name></author><author><name sortKey="Freire Maia, B" uniqKey="Freire Maia B">B Freire-Maia</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murat, S" uniqKey="Murat S">S Murat</name></author><author><name sortKey="Gurbuz, A" uniqKey="Gurbuz A">A Gurbuz</name></author><author><name sortKey="Isayev, A" uniqKey="Isayev A">A Isayev</name></author><author><name sortKey="Dokmez, B" uniqKey="Dokmez B">B Dokmez</name></author><author><name sortKey="Cetin, U" uniqKey="Cetin U">U Cetin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Markovic, D" uniqKey="Markovic D">D Markovic</name></author><author><name sortKey="Andjelkovic, A" uniqKey="Andjelkovic A">A Andjelkovic</name></author><author><name sortKey="Jeremic Knezevic, M" uniqKey="Jeremic Knezevic M">M Jeremic-Knezevic</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Faheemuddin, M" uniqKey="Faheemuddin M">M Faheemuddin</name></author><author><name sortKey="Yazdanie, N" uniqKey="Yazdanie N">N Yazdanie</name></author><author><name sortKey="Nawaz, Ms" uniqKey="Nawaz M">MS Nawaz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tirelli, G" uniqKey="Tirelli G">G Tirelli</name></author><author><name sortKey="Rizzo, R" uniqKey="Rizzo R">R Rizzo</name></author><author><name sortKey="Biasotto, M" uniqKey="Biasotto M">M Biasotto</name></author><author><name sortKey="Di Lenarda, R" uniqKey="Di Lenarda R">R Di Lenarda</name></author><author><name sortKey="Argenti, B" uniqKey="Argenti B">B Argenti</name></author><author><name sortKey="Gatto, A" uniqKey="Gatto A">A Gatto</name></author><author><name sortKey="Bullo, F" uniqKey="Bullo F">F Bullo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Okay, Dj" uniqKey="Okay D">DJ Okay</name></author><author><name sortKey="Genden, E" uniqKey="Genden E">E Genden</name></author><author><name sortKey="Buchbinder, D" uniqKey="Buchbinder D">D Buchbinder</name></author><author><name sortKey="Urken, M" uniqKey="Urken M">M Urken</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gowda, Em" uniqKey="Gowda E">EM Gowda</name></author><author><name sortKey="Mohan, Ms" uniqKey="Mohan M">MS Mohan</name></author><author><name sortKey="Verma, K" uniqKey="Verma K">K Verma</name></author><author><name sortKey="Roy, Id" uniqKey="Roy I">ID Roy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bae, Hek" uniqKey="Bae H">HEK Bae</name></author><author><name sortKey="Jeon, Jh" uniqKey="Jeon J">JH Jeon</name></author><author><name sortKey="Chung, Mk" uniqKey="Chung M">MK Chung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Habib, Bh" uniqKey="Habib B">BH Habib</name></author><author><name sortKey="Driscoll, Cf" uniqKey="Driscoll C">CF Driscoll</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Cureus</journal-id><journal-id journal-id-type="iso-abbrev">Cureus</journal-id><journal-id journal-id-type="issn">2168-8184</journal-id><journal-title-group><journal-title>Cureus</journal-title></journal-title-group><issn pub-type="epub">2168-8184</issn><publisher><publisher-name>Cureus</publisher-name><publisher-loc>Palo Alto (CA)</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27433414</article-id><article-id pub-id-type="pmc">4938627</article-id><article-id pub-id-type="doi">10.7759/cureus.635</article-id><article-categories><subj-group subj-group-type="heading"><subject>Quality Improvement</subject></subj-group><subj-group><subject>Oncology</subject></subj-group></article-categories><title-group><article-title>Split Hollow Bulb Obturator to Rehabilitate Maxillary Defect: A Case Report</article-title></title-group><contrib-group><contrib contrib-type="editor"><name><surname>Muacevic</surname><given-names>Alexander</given-names></name></contrib><contrib contrib-type="editor"><name><surname>Adler</surname><given-names>John R</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Mohamed</surname><given-names>Kasim</given-names></name><xref ref-type="aff" rid="aff-41138">1</xref></contrib><contrib contrib-type="author"><name><surname>Mani</surname><given-names>Umamaheswari</given-names></name><xref ref-type="aff" rid="aff-41138">1</xref></contrib><contrib contrib-type="author"><name><surname>Saravanakumar</surname><given-names>Prathibha</given-names></name><xref ref-type="aff" rid="aff-41138">1</xref></contrib><contrib contrib-type="author"><name><surname>Kumar</surname><given-names>S Prasanna</given-names></name><xref ref-type="aff" rid="aff-41140">2</xref></contrib><contrib contrib-type="author"><name><surname>Arunachalam</surname><given-names>Ravikumar</given-names></name><xref ref-type="aff" rid="aff-41140">2</xref></contrib></contrib-group><aff id="aff-41138"><label>1</label> Prosthodontics, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India</aff><aff id="aff-41140"><label>2</label> E.N.T., Sri Ramachandra University, Chennai, India</aff><author-notes><corresp id="cor1">Kasim Mohamed <email>mohamedkasim9@yahoo.com</email></corresp></author-notes><pub-date date-type="pub" publication-format="electronic"><day>9</day><month>6</month><year>2016</year></pub-date><pub-date date-type="collection" publication-format="electronic"><month>6</month><year>2016</year></pub-date><volume>8</volume><issue>6</issue><elocation-id>e635</elocation-id><history><date date-type="received"><day>13</day><month>5</month><year>2016</year></date><date date-type="accepted"><day>8</day><month>6</month><year>2016</year></date></history><permissions><copyright-statement>Copyright © 2016, Mohamed et al.</copyright-statement><copyright-year>2016</copyright-year><copyright-holder>Mohamed et al.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><self-uri xlink:href="http://www.cureus.com/articles/4597-split-hollow-bulb-obturator-to-rehabilitate-maxillary-defect-a-case-report">This article is available from http://www.cureus.com/articles/4597-split-hollow-bulb-obturator-to-rehabilitate-maxillary-defect-a-case-report</self-uri><abstract><p>The rehabilitation of a maxillectomy patient involves meticulous treatment planning and designing. Lack of retention and facial support and limited mouth opening are the major issues that lead to functional and psychological trauma in post-maxillectomy patients. The successful rehabilitation of a maxillary defect includes restoring the function, esthetics, and a complete obturation of the defect, enabling the patient to feed without nasal regurgitation. This case report describes the fabrication of an obturator with a modified design, namely a split-antral hollow bulb obturator and oral part that is retained with a ball attachment, for a patient with right-side acquired maxillary defect due to recurrent myxoma. The primary advantage of this modification is enhanced facial support and a self-retentive antral obturation that improved the quality of life of the patient after an extensive maxillectomy.</p></abstract><kwd-group kwd-group-type="author"><kwd>hollow bulb</kwd><kwd>split design</kwd><kwd>sub-total maxillectomy</kwd><kwd>self retentive bulb</kwd><kwd>ball attachment</kwd></kwd-group></article-meta><notes><p content-type="disclaimer">The content published in Cureus is the result of clinical experience and/or research by independent individuals or organizations. Cureus is not responsible for the scientific accuracy or reliability of data or conclusions published herein. All content published within Cureus is intended only for educational, research and reference purposes. Additionally, articles published within Cureus should not be deemed a suitable substitute for the advice of a qualified health care professional. Do not disregard or avoid professional medical advice due to content published within Cureus.</p></notes></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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