Bridging the Gap Between Immediate Surgical and Definitive Oral Rehabilitation With Interim Obturators: A Case Report

Maxillectomy can result in various functional deficits for the patient, such as hypernasal speech, difficulty in deglutition, fistula formation, and loss of support for cheeks and lips. Surgical reconstruction might be the ideal treatment for rehabilitation of maxillectomy defects, but it is seldom done, particularly if the defect is significant and the tissues are exposed to radiotherapy. Since a definite obturator is deferred till complete healing of the surgical site has occurred, an interim obturator helps in achieving normalcy. Apart from restoring the functions of speech and deglutition, the interim obturator has a great psychological benefit to the patient in regaining social acceptance. In this case report, we describe how our patients benefitted from an interdisciplinary team approach with the help of interim obturators till the surgical site attained stability for the fabrication of definite obturators, thereby improving their overall quality of life.

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Publication Details

Journal
Cureus
Published
2025-02-16
DOI
https://doi.org/10.7759/cureus.79103
Citations
2
Primary Topic
Reconstructive Surgery and Microvascular Techniques
Type
article
Field-Weighted Citation Impact
4.01
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article

Bridging the Gap Between Immediate Surgical and Definitive Oral Rehabilitation With Interim Obturators: A Case Report

Sohan S Raje, Janani Iyer, Jyoti B Nadgere, Saumil C Sampat et al.
2 citations
Cureus
Reconstructive Surgery and Microvascular Techniques
4.01
article

Bridging the Gap Between Immediate Surgical and Definitive Oral Rehabilitation With Interim Obturators: A Case Report

Sohan S Raje, Janani Iyer, Jyoti B Nadgere, Saumil C Sampat, Prachiti M Terni
article en
2 citations

Abstract

Maxillectomy can result in various functional deficits for the patient, such as hypernasal speech, difficulty in deglutition, fistula formation, and loss of support for cheeks and lips. Surgical reconstruction might be the ideal treatment for rehabilitation of maxillectomy defects, but it is seldom done, particularly if the defect is significant and the tissues are exposed to radiotherapy. Since a definite obturator is deferred till complete healing of the surgical site has occurred, an interim obturator helps in achieving normalcy. Apart from restoring the functions of speech and deglutition, the interim obturator has a great psychological benefit to the patient in regaining social acceptance. In this case report, we describe how our patients benefitted from an interdisciplinary team approach with the help of interim obturators till the surgical site attained stability for the fabrication of definite obturators, thereby improving their overall quality of life.

CureusVol. 17(2)
Mahatma Gandhi Mission's Dental College and Hospital (IN)
Gender equality
Openalex Percentile: Top 9%
Reconstructive Surgery and Microvascular Techniques
4.01
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Bridging the Gap Between Immediate Surgical and Definitive Oral Rehabilitation With Interim Obturators: A Case Report — Sohan S Raje, Janani Iyer, et al. · Cureus (2025) | TGRS Research Map | TGRS