SONRADAN KAZANILMIŞ MAKSİLLER DEFEKTİN PROTETİK REHABİLİTASYONU: 2 OLGU SUNUMU

Objective: It’s aimed to present the prosthetic rehabilitations performed with bulb obturators of a 45-year-old male and 57-year-old female patient with large maxillary defects after tumor resection. 

Case Reports: A male patient with squamous cell carcinoma and a female patient with mucoepidermoid carcinoma were scheduled to be rehabilitated with prostheses after partial maxillectomy operations. Accordingly, a bulb obturator was applied to the male patient and a hollow bulb obturator was applied to the female patient with the impressions made from the defect areas. The lower jaws of both patients with partial edentulism were rehabilitated with metal partial dentures. It has been observed that the resonance and nutrition problems of the male patient with oronasal fistula were eliminated with obturator prosthesis and facial esthetics were improved with the support of the upper lip. It was also determined that the comfort of the female patient was increased with the hollow bulb obturator applied. 

Conclusion: In 6-month follow-up of male patient and 12-month follow-up of female patient; the complaints about function, phonetics and esthetics occurred after resection were eliminated. The implant-supported prosthesis is known to provide a higher level of retention and stabilization in large defects. However, in cases where implant treatments cannot be applied due to the general health problems, financial situation and contraindications, conventional obturator prosthesis rehabilitation can be applied safely.