Congress Lecture

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Surgical Planning and Procedures

Case Presentation: Immediate Obturation after Extensive Maxillectomy

Jacobus Hercules van Den Heever

Tumors of the maxilla usually require radical surgery resulting in defects reconstructed primarily by vascularised tissue transfer. The main goal of surgery is complete tumour resection while maximizing post-operative function.

This is often difficult to achieve as it depends on several variables:

  • Tumor size and location
  • Type of surgical reconstruction
  • Dental status

These procedures have a major impact on the physical, psychological and social well-being of the patient. Following treatment patients experience severe problems with chewing, swallowing, speech, and facial disfigurement that often lead to social isolation and poor quality of life.

Functional rehabilitation is aimed at restoring oro-facial form and function and to address quality of life. If a vascularised tissue transfer is not possible the use of implant-supported obturators are recommended.

This presentation describes the use of an immediately placed implant-supported obturator to treat a patient who lost part of his maxilla due to tumor surgery.

9 minutes
ITI Congress Southern Africa 2013
0.16 hours
Purchase price
5 Academy Coins
Publication date: Jan 11, 2015 Last review date: Apr 10, 2021 Next review date: Apr 10, 2024
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