A Case report on remarkable healing by secondary intention in a hemi-maxillectomy patient rehabilitated with obturator prosthesis


Main Article Content

Chaitanya Reddy
Sesha Reddy P
Sravani Pampana
https://orcid.org/0000-0001-6613-3779

Vineeth Guduri

Abstract

This case report describes a situation in which an impressive recovery through secondary intention occurred in a patient who had a hemi-maxillectomy, and this was followed by comprehensive rehabilitation involving multiple disciplines. The pre-surgical prosthetic planning was done before the surgical excision of the tumour. Phased treatment was executed with a surgical obturator immediately post resection, hollow-bulb interim obturator during the healing phase and cast partial denture definitive obturator after recovery. Rapid healing was achieved by secondary intention, and a drastic reduction in the volume of defects was observed. Follow-up revealed successful patient rehabilitation to lead a good quality of life.

Article Details


How to Cite
Reddy, C., P, S. R., Pampana, S., & Guduri, V. (2024). A Case report on remarkable healing by secondary intention in a hemi-maxillectomy patient rehabilitated with obturator prosthesis. International Journal of Dental Materials, 6(3), 77–80. https://doi.org/10.37983/IJDM.2024.6305
Author Biographies

Chaitanya Reddy, Government Dental College and Hospital

Assistant Professor, Department of Prosthodontics, Government Dental College and Hospital, Kadapa; Andhra Pradesh; India.

Sesha Reddy P, Government Dental College and Hospital

Associate Professor, Department of Prosthodontics, Government Dental College and Hospital, Kadapa, Andhra Pradesh, India.

Sravani Pampana, Vishnu Dental College

Assistant Professor, Department of Oral and Maxillofacial Surgery, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.  

Vineeth Guduri, Vishnu Dental College

Associate Professor, Department of Prosthodontics, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.

References

  1. Ramachandra S, Shekar PC, Prasad S, Kumar KK, Reddy GS, Prakash KL, Reddy BV. Prevalence of odontogenic cysts and tumors: A retrospective clinico-pathological study of 204 cases. SRM J Res Dent Sci. 2014;5(3):170. https://doi.org/10.4103/0976-433X.138727
  2. Omondi BI, Guthua SW, Awange DO, Odhiambo WA. Maxillary obturator prosthesis rehabilitation following maxillectomy for
  3. ameloblastoma: case series of five patients. Int J Prosthodont. 2004; 17(4):464-8.
  4. Vermeulen H, Ubbink DT, Goossens A, De Vos R, Legemate DA. Systematic review of dressings and topical agents for surgical wounds healing by secondary intention. J Br Surg. 2005;92(6):665-72. https://doi.org/10.1002/bjs.5055
  5. Mellott AJ, Zamierowski DS, Andrews BT. Negative pressure wound therapy in maxillofacial applications. Dent J. 2016;4(3):30. https://doi.org/10.3390/dj4030030
  6. Chetter IC, Oswald AV, McGinnis E, Stubbs N, Arundel C, Buckley H, Bell K, Dumville JC, Cullum NA, Soares MO, Saramago P. Patients with surgical wounds healing by secondary intention: a prospective, cohort study. Int J Nursing Studies. 2019;89:62-71. https://doi.org/10.1016/j.ijnurstu.2018.09.011
  7. Zaid W, Amin D, Carlson ER. Obturating the Maxillary Defect: Surgical and Prosthetic Considerations. Atlas Oral Maxillofa Surg Clin North Am. 2024;32(2):81-90. https://doi.org/10.1016/j.cxom.2023.12.005
  8. Srinivasan J, Babu RK, Suresh V. Fabrication of interim hollow bulb obturator using lost salt technique. J Sci Dent. 2012;1(1):15-24. https://doi.org/10.5005/jsd-1-1-37
  9. Yadav R, Gulati A. Peripheral ossifying fibroma: a case report. J Oral Sci. 2009;51(1):151-4. https://doi.org/10.2334/josnusd.51.151
  10. Curtis TA, Beumer J III. Restoration of acquired hard palate defects: Etiology, disability and rehabilitation. In: Beumer J III, Curtis TA, Marunick MT (eds). Maxillofacial Rehabilitation: Prosthodontic and Surgical Considerations. St Louis: Ishiyaku EuroAmerica, 1996:225–284.
  11. Lethaus B, Lie N, De Beer F, Kessler P, De Baat C, Verdonck HW. Surgical and prosthetic reconsiderations in patients with maxillectomy. Journal of oral rehabilitation. 2010 Feb;37(2):138-42Yadav R, Gulati A. Peripheral ossifying fibroma: a case report. J Oral Sci. 2009;51(1):151-4. https://doi.org/10.2334/josnusd.51.151
  12. Corsalini M, Barile G, Catapano S, Ciocia A, Casorelli A, Siciliani R, Di Venere D, Capodiferro S. Obturator prosthesis rehabilitation after maxillectomy: functional and aesthetical analysis in 25 patients. Int J Environ Res Public Health. 2021;18(23):12524. https://doi.org/10.3390/ijerph182312524

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