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Use of Orbital Conformer to Improve Speech in Patients with Confluent Maxillectomy and Orbital Defects
Author(s) -
Colebeck Amanda C.,
Kase Michael T.,
Nichols Cindy B.,
Golden Marjorie,
Huryn Joseph M.
Publication year - 2016
Publication title -
journal of prosthodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.902
H-Index - 60
eISSN - 1532-849X
pISSN - 1059-941X
DOI - 10.1111/jopr.12282
Subject(s) - swallowing , prosthesis , mastication , medicine , orthodontics , orbit (dynamics) , phonation , dentistry , surgery , audiology , engineering , aerospace engineering
The basic objective in prosthetic restoration of confluent maxillary and orbital defects is to achieve a comfortable, cosmetically acceptable prosthesis that restores speech, deglutition, and mastication. It is a challenging task complicated by the size and shape of the defects. The maxillary obturator prosthesis often satisfies the objective of adequate deglutition; however, orbital defects that are not obturated in the medial, septal, or posterior walls allow air to escape, negatively impacting phonation. This article describes a technique to achieve favorable prosthetic rehabilitation in a patient with a maxillectomy and ipsilateral orbital exenteration. The prosthetic components include maxillary obturator, orbital conformer, and orbital prosthesis connected using rigid magnetic attachments.