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Updated: Jul 30, 2026
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Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
Published on: August 24, 2018
[Application of prosthetic replacement for bilateral maxillectomy defect].
Kengo Nishimoto1, Mituaki Iwamoto, Atuko Karaki
1Department of Otolaryngology, Faculty of Medicine, Kagoshima University, Kagoshima.
Nihon Jibiinkoka Gakkai Kaiho
|November 21, 2002
Summary
This study details the successful rehabilitation of a patient with extensive hard palate cancer using a custom maxillary obturator prosthesis. The innovative dental device restored speech, swallowing, and aesthetics post-surgery.
Area of Science:
- Oncology
- Maxillofacial Surgery
- Prosthodontics
Background:
- Large hard palate cancer necessitates complex surgical intervention.
- Maxillectomy for advanced oral cancers can lead to significant functional and aesthetic deficits.
- Reconstruction of the palate is crucial for restoring speech and swallowing functions.
Observation:
- A 59-year-old female patient presented with large hard palate cancer.
- Underwent surgical resection involving bilateral maxillectomy, resulting in total hard palate loss and partial soft palate loss.
- A custom-fabricated obturator prosthesis was designed to fit the surgical defect and connect to a mandibular denture.
Findings:
- The patient achieved functional speech recovery at an early stage post-operation.
- Swallowing function was also restored relatively quickly after prosthesis placement.
- Satisfactory cosmetic outcomes were attained, improving the patient's quality of life.
Implications:
- Maxillary obturator prostheses are effective in rehabilitating patients after extensive maxillectomy.
- Early prosthetic intervention can significantly improve functional recovery (speech, swallowing) and aesthetics.
- This approach offers a viable solution for complex oral cancer reconstruction, enhancing patient outcomes.
