Prosthetic Rehabilitation of a Patient after Surgical Reconstruction of the Maxilla: A Clinical Report

Abstract

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. © 2010 by The American College of Prosthodontists.