Delayed Surgical Obturator—Case Series

  • Kasim Mohamed
  • Fathima Banu REmail author
  • Mahesheswaran
  • Sanjeev Mohanty
Case Report


Maxillofacial surgery involving part or whole of maxilla involves wide open surgical wounds which need to be protected to prevent disease due to oral contamination and close the communication. The surgical obturator fabricated for the purpose, prior to surgical excision, could be underextended compared to the resected site. The reason for underextension could be attributed to the unintentional extension of the lesion at the surgical table, to prevent metastasis or to avoid recurrences. In such situation, it is essential to fabricate a delayed surgical obturator within a week postsurgically. However, manipulation of surgical site during initial periods of healing would be agonizing to the patient. Management of impression, surgical undercut, support of the graft, and adjacent tissues are of high concern during the initial period of healing. This case series describes the significance of delayed surgical obturator in maxillofacial defect immediate to the postoperative phase.


Delayed surgical obturator Invasive mucormycosis Maxillofacial defect 



  1. 1.
    Spiro RH, Strong EW, Shah JP (1997) Maxillectomy and its classification. Head Neck 19:309–314CrossRefGoogle Scholar
  2. 2.
    Chalian VA, Drane JB, Standish SM (1971) Multidisciplinary practice. Baltimore: The Williams and Wilkins Co; Maxillofacial prosthetics; 133–48Google Scholar
  3. 3.
    Mantri S, Khan Z Prosthodontic rehabilitation of acquired maxillofacial defects; In Head and neck cancer. Eds Dr. Mark Agulnik.; 315-336Google Scholar
  4. 4.
    Keyf F (2001) Obturator prostheses for hemimaxillectomy patients. J Oral Rehabil 28:821–829CrossRefGoogle Scholar
  5. 5.
    Beumer J, Curtis TA, Marunick MT (1996) Maxillofacial rehabilitation: prosthodonticand surgical considerations. Elsevier, St. Louis, pp 225–247Google Scholar
  6. 6.
    Maheshwaran KS, Mohamed K, Subhiksha R, Kumar VA (2017) A simplified novel approach in the fabrication of an interim hollow bulb obturator. Int J Dent Health Sci 4(5):1227–1232Google Scholar
  7. 7.
    Munksgaard EC (2005) Plasticizers in denture soft-lining materials: leaching and biodegradation. Eur J Oral Sci 113:166–169CrossRefGoogle Scholar
  8. 8.
    Park KT, Kwon HB (2006) The evaluation of the use of a delayed surgical obturator in dentate maxillectomy patients by considering days elapsed prior to commencement of postoperative oral feeding. J Prosthet Dent 96:449–453CrossRefGoogle Scholar
  9. 9.
    Hickey AJ, Salter M (2006) Prosthodontic and psychological factors in treating patients with congenitaland craniofacial defects. J Prosthet Dent 95:392–396CrossRefGoogle Scholar
  10. 10.
    Taylor TD (1997) Clinical maxillofacial prosthetics. Quintessence Publishing Co, Illinois. Chapter 7, p 110Google Scholar
  11. 11.
    Desjardins RP (1977) Early rehabilitative management of the maxillectomy patient. J Prosthet Dent 38:311–318CrossRefGoogle Scholar

Copyright information

© Indian Association of Surgical Oncology 2019

Authors and Affiliations

  1. 1.Department of Prosthodontics, Faculty of Dental SciencesSri Ramachandra Institute of Higher Education and ResearchChennaiIndia
  2. 2.Department of OtolaryngologySri Ramachandra Institute of Higher Education and ResearchChennaiIndia

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