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Queenalice Arul, Speaker at Cancer Events
AIIMS-All India Institute of Medical Sciences, India

Abstract:

Background: Hemi-maxillectomy, the surgical removal of part of the maxilla, often results in significant defects that affect speech, mastication, and aesthetics. These defects can lead to nasal regurgitation, impaired speech, and psychological distress.

Objective: This paper discusses the clinical and laboratory procedures involved in the fabrication of a maxillary obturator for a hemi-maxillectomy patient. The goal is to restore function and aesthetics, improving the patient’s quality of life.

Methods: The process involves taking detailed impressions of the defect, designing a prosthesis that fits securely, and ensuring it restores the separation between the oral and nasal cavities. The obturator is typically supported by the remaining teeth and may require adjustments to accommodate changes in the soft tissues over time.

Results: Properly designed obturators can significantly improve speech, prevent nasal regurgitation, and enhance the patient’s ability to eat and drink. They also play a crucial role in the psychological rehabilitation of patients by restoring facial aesthetics.

Conclusion: Maxillary obturators are essential in the rehabilitation of hemi-maxillectomy patients. They help restore critical functions and improve the overall quality of life, making them a vital component of post-surgical care.

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