South Asian Research Journal of Oral and Dental Sciences (SARJODS) (ICV 2020: 76.24)
Volume-6 | Issue-02
Case Report
Image Guided Palatal Obturator Design and Fabrication for Maxillectomy Defect in the Case of Acute Invasive Fungal Sinusitis
Steven E. Handel, John Lally, Hannah Colburn, Andrew S. Ryser, Jennifer Sabol, Tom Wilson
Published : March 14, 2024
Abstract
Acute invasive fungal sinusitis requires a high clinical suspicion and rapid diagnosis for initiation of surgical and medical treatment. Due to necessity of expedited surgical treatment, evaluation and impression making by a maxillofacial prosthodontist is rarely possible prior to debridement. Surgical debridement often results in maxillary defects, which can negatively impact speech, deglutition, and respiration. A surgical obturator occludes the palatal defect resulting in improved speech, swallowing and prevention of wound contamination with food particulate. This article focuses on utilizing medical imaging, usually acquired for diagnosis and surgical planning, to fabricate a well-fitting surgical obturator without conventional or digital intraoral dental impression making.