Rehabilitation of a complete maxillectomy patient: A case report of osteomyelitis of maxilla
DOI:
https://doi.org/10.7439/ijbr.v6i2.1756Abstract
Osteomyelitis of the jaws is osteomyelitis (which is inflammation of the bone marrow, sometimes abbreviated to OM) which occurs in the bones of the jaws (i.e. maxilla or the mandible). Historically, osteomyelitis of the jaws was a common complication of odontogenic infection (infections of the teeth). Before the antibiotic era, it was frequently a fatal condition. Today osteomyelitis of facial bones is a rare condition. Maxillary osteomyelitis is rare compared to mandible osteomyelitis because extensive blood supply and strut like bone of the maxilla make it less prone to chronic infection. We report a rare case of Osteomyelitis involving whole of the Maxilla in a 63 year old male patient, diabetic and hypertensive for the past 2 years. He presented to us with anpalatally exposed bone with offensive odour from the nose. Examination revealed a necrotic maxilla involving whole hard palate. A computerized tomography scan confirmed Osteomyelitis of whole Maxilla. Patient underwent complete surgical excision with prosthesis reconstruction. Prosthetic rehabilitation of patients with acquired defects of the maxilla present a challenging task because of inadequate retention and stability of prosthesis and these goals are even more challenging in a complete maxillectomy case. This case report describes the fabrication of prosthesis utilizing soft tissue undercuts for retention using soft liners as one technique and fabrication of a two piece prosthesis utilizing magnets to meet the goals.Downloads
References
Manimaran K, Suresh Kannan P, Kannan R. Osteomyelitis of maxilla bilateral involvement A case report. JIADS.April-June 2011;2[2]:57-8
David J Pincus, Milton B Armstrong, Seth R Thaller. Osteomyelitis of
the craniofacial skeleton.Semin Plast Surg. May 2009;23[2]:73-9
S P Lumba, A Nirola, B S Grewal. Healed osteomyelitis of Maxilla
with tooth in the floor of nose. The Journal of Laryngology & Otology. August 1971;85[08] :877
Macbeth RG. Osteomyelitis of the maxilla. Proceedings of the Royal
Society of Medicine. 2001:1030-1032.
Shafer WG,Hine MK,Levy BM, A textbook of oral pathology,4th ed;Elsevier,New delhi,2003.
Topazian R, Goldberg M, Huup J. Oral and maxillofacial infections.
th ed. W.B. Saunders, 2002.
Nuray Er, Kasaboglu OG, Atabek A, Oktemer K, Akkocaoglu M.. Topical phenytoin treatment in bimaxillary osteomyelitis secondary to infantile osteopetrosis: Report of a case. J Oral Maxillofac Surg 2006;64:7:1160-64.
Rieger J. Speech outcomes in patients rehabilitated with maxillary obturator prosthesis after maxillectomy: A prospective study. Int J Prosthodont 2002; 15; 139-44.
Dhiman R. Rehabilitation of a rhinocerebral mucoromycosis patient. Indian J Prosthod Soc 2007;7; 88-91.
Kreissl ME. Zygoma implant supported prosthetic rehabilitation after partial maxillectomy using surgical navigation: A clinical report. J Prosthet Dent 2007;97;121-28.
Parr GR. Prosthodontic principles in the framework design of maxillary obturator prosthesis. J Prosthet Dent 1989; 62; 205-12.
Aramany MA. Basic principles of obturator design for partially edentulous patients Part 1: Classification . J Prosthet Dent 1978; 40; 554-57.
Aramany MA. Basic principles of obturator design for partially edentulous patients PartII: Design principles. J Prosthet Dent 1978; 40; 656-62.
Wang RR. Sectional prosthesis for total maxillectomy patients: a clinical report. J Prosthet Dent 1997;78:241-44.
Desjardins RP. Obturator prosthesis design for acquired maxillary defects. J Prosthet Dent 1978;39:424-35.
Wiens JP, Acquired maxillofacial defects from motor vehicle accidents: Statistics and prosthodontic considerationsJ Prosthet Dent 1990; 63: 172-81.
T
Shambharkar VI, Puri SB, Patil PG, A simple technique to fabricate a surgical obturator restoring the defect in original anatomical formJ AdvProsthodont 2011; 3: 106-9.
Juntavee N, Prosthetic rehabilitation of maxillectomy patient Kaen Dent J 1998; 1: 93-9.
Meenakshi A, Shah D, The obturator prostheses for maxillectomy SRM J Res Dent Sci 2012; 3: 193-7.
V.Bhat, A Close- Up On Obturators Using Magnets: Part I- Magnets in Dentistry. The Journal Of Indian Prosthodontic Society 2005;5(3)114-8.
Federick, David R. A magnetically retained interim maxillary obturator. J Prosthet Dent 1976;36:671-5.
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