Maxillary Surgical Obturator Following Resection of an Odontogenic Myxoma in a Pediatric Patient.
This report describes planned two-stage prosthetic rehabilitation in a 14-year-old boy after maxillary odontogenic myxoma resection, using an immediate interim obturator followed by a definitive prosthesis after 30 days, with favorable local recovery and reported quality-of-life benefit.
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This report describes planned two-stage prosthetic rehabilitation in a 14-year-old boy after maxillary odontogenic myxoma resection, using an immediate interim obturator followed by a definitive prosthesis after 30 days, with favorable local recovery and reported quality-of-life benefit.
Research significance
Evidence from this single case suggests that preoperative prosthetic planning and immediate interim obturation can tamponade an oronasal defect, support hemostasis, protect the wound, and facilitate later definitive rehabilitation; it is reasonable but unproven to hypothesize that this approach improves functional and psychosocial recovery across pediatric patients undergoing maxillary tumor resection.
Source abstract
The treatment of odontogenic myxoma (OM) may result in several oral complications. Although oral and esthetic rehabilitation following extensive resections is crucial, it remains a significant challenge. A 14-year-old Brazilian male patient presented with an OM in the left hemimaxilla, which was associated with bone expansion and facial asymmetry. Oral rehabilitation was planned prior to surgical resection, and the proposed treatment was carried out in two stages. In the first stage, an interim obturator prosthesis (IOP) was fabricated. The IOP played a crucial role in tamponading the oronasal communication, aiding hemostasis, and protecting the surgical wound. After 30 days, favorable tissue conditions were observed, allowing for the fabrication of a definitive dental prosthesis. This approach contributed effectively to psychological recovery and improved quality of life. Successful rehabilitation requires a multidisciplinary strategy, incorporating prosthetic planning and immediate IOP-based rehabilitation, to achieve optimal functional, physical, and psychological outcomes.