Cureus · 2025
Prosthetic Rehabilitation of a Post-mucormycosis Maxillectomy Defect Using a Maxillary Hollow Obturator and Complete Denture: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Srivastava Shubham K, Srivastava Shitij, Shekhar Abhinav, Sarkar Debajyoti, Singh Abhishek
Аннотация
Mucormycosis is an opportunistic fungal infection that severely impacts immunocompromised patients. Invasive mucormycosis tends to require surgical procedures like maxillectomy, leading to a complex oro-nasal communication and a severe compromise of oral function, speech, and esthetics. The following case report describes the prosthetic rehabilitation of a patient after maxillectomy post-mucormycosis. A maxillary complete denture with a closed hollow bulb obturator was constructed to restore oral function, facilitate speech, and improve facial esthetics. The impression-making technique was meticulously altered to obtain a precise recording of the defect, and a new flasking technique was used during processing to create a lightweight yet retentive prosthesis. Thermocol was strategically utilized to hollow the obturator and alveolar ridge segments, thereby reducing the weight while preserving structural support. Soft relining with Molloplast B (Detax GmbH & Co. KG, Ettlingen, Germany) was performed to enhance mucosal adaptation as well as patient comfort. After-insertion assessment indicated optimal fit, retention, and patient satisfaction, with marked improvement in speech and mastication. Follow-up at regular intervals showed maintained function and comfort, underlining the critical role of prosthodontic rehabilitation in the interdisciplinary management of post-mucormycosis maxillary defects.