Journal Of Prosthodontics, vol.20, no.1, pp.24-0, 2011 (Journal Indexed in SCI Expanded)
Prosthetic management of maxillectomy cases is challenging, and a
multidisciplinary approach is usually needed. This clinical report describes the
treatment provided to a patient who presented with a moderately differentiated
squamous cell carcinoma. A two-stage surgical protocol was followed for this
purpose. At the first surgery, the anterior maxilla was resected, and the oral
and nasal mucosal and osseous defect was reconstructed with an osteocutaneous
flap from the radial forearm. At the second surgery, all fascias and the
connective tissue between the skin and the bone were resected to provide an
optimal thickness for denture stability. Two months after the second surgery,
prosthetic rehabilitation was completed with a maxillary telescopic overdenture.
During the 15-month follow-up period, the patient's oral condition and physical
appearance improved, and no complications occurred.