Salinas GJS, Rosales RR, Medrano CL

Language: Spanish
References: 24
Page: 39-47
PDF size: 464.59 Kb.

ABSTRACT

Immediate obturators are intraoral prosthesis used to improve post-surgical conditions from patients underwent maxillary resections surgeries as treatment of benign or malignant tumors; they're used to improve speech and breath, also help to healing the maxillary defect, as well as a barrier between buccal and nasal cavities avoiding the passage of food to the upper airway, decreases the risk of bronchoaspiration, helps lessen the psychological impact of maxillary resection defects and improves the support of the facial tissues, minimizes scar contracture and disfigurement, bringing a positive effect on the patient's facial aesthetics. It helps reducing hospitalization time by not having the necessity to use a feeding tube, either nasogastric or gastrotomy tubes, which also affects their quality of life. The use of this prosthesis must be know by all head and neck surgeons. The objective of this paper is to present five clinical cases of malignant tumor maxillary resection surgery patients, where immediate obturators were placed as part of an integrated treatment; in addition to proposing different designs of immediate obturators to be used in each particular case. The use of immediate obturators in maxillary resection it's required to improve the outcome of the surgical procedures, as well as future alterations that may appear. Its use is also important due to the benefits it presents in a possible long term rehabilitation of the oral functions to improve the patient's quality of life.

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