Intraoral customized Z-spring-retained delayed surgical obturator for rare cases of bilateral subtotal maxillectomy
While dealing with a grave second wave of ongoing pandemic COVID-19, India also saw a surge in cases of COVID-19-associated mucormycosis, a systematic fungal infection caused by the Mucorales species. Mucormycosis is a highly angioinvasive, rapidly spreading fungal infection. In numerous cases of mu...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | The Journal of Indian Prosthodontic Society |
| Subjects: | |
| Online Access: | http://www.j-ips.org/article.asp?issn=0972-4052;year=2022;volume=22;issue=4;spage=405;epage=409;aulast=Chaturvedi |
| _version_ | 1811313453621575680 |
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| author | Anandmayee Chaturvedi Kumari Deepika Rekha Gupta |
| author_facet | Anandmayee Chaturvedi Kumari Deepika Rekha Gupta |
| author_sort | Anandmayee Chaturvedi |
| collection | DOAJ |
| description | While dealing with a grave second wave of ongoing pandemic COVID-19, India also saw a surge in cases of COVID-19-associated mucormycosis, a systematic fungal infection caused by the Mucorales species. Mucormycosis is a highly angioinvasive, rapidly spreading fungal infection. In numerous cases of mucormycosis, bilateral subtotal maxillectomy was performed due to unpredictable and indefinable advancement of fungus clinically. Effective obturation of bilateral maxillectomy defect is a difficult task and as this is a relatively uncommon surgical problem, insufficient data are available on the construction of delayed surgical obturator for such cases. The aim of this article is to discuss the design of Z-spring-retained delayed surgical obturator which is easy to fabricate, easy to rectify, cost-effective, and comfortable for the patients compared to previous spring-retained obturators. This surgical obturator is retained through Z-spring made of 1.02 mm thick wire. Due to the thick gauge, this spring counters postsurgery trismus and develops the seal between the acrylic plate and dorsum of the tongue during deglutition thus helps the patient in taking a soft diet initially. Novelty in this case is the design of the spring, which makes it beneficial for both patient and prosthodontist. |
| first_indexed | 2024-04-13T10:54:03Z |
| format | Article |
| id | doaj.art-0e12e1c0dda04cd99896507e215fafad |
| institution | Directory Open Access Journal |
| issn | 0972-4052 1998-4057 |
| language | English |
| last_indexed | 2024-04-13T10:54:03Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Journal of Indian Prosthodontic Society |
| spelling | doaj.art-0e12e1c0dda04cd99896507e215fafad2022-12-22T02:49:34ZengWolters Kluwer Medknow PublicationsThe Journal of Indian Prosthodontic Society0972-40521998-40572022-01-0122440540910.4103/jips.jips_530_21Intraoral customized Z-spring-retained delayed surgical obturator for rare cases of bilateral subtotal maxillectomyAnandmayee ChaturvediKumari DeepikaRekha GuptaWhile dealing with a grave second wave of ongoing pandemic COVID-19, India also saw a surge in cases of COVID-19-associated mucormycosis, a systematic fungal infection caused by the Mucorales species. Mucormycosis is a highly angioinvasive, rapidly spreading fungal infection. In numerous cases of mucormycosis, bilateral subtotal maxillectomy was performed due to unpredictable and indefinable advancement of fungus clinically. Effective obturation of bilateral maxillectomy defect is a difficult task and as this is a relatively uncommon surgical problem, insufficient data are available on the construction of delayed surgical obturator for such cases. The aim of this article is to discuss the design of Z-spring-retained delayed surgical obturator which is easy to fabricate, easy to rectify, cost-effective, and comfortable for the patients compared to previous spring-retained obturators. This surgical obturator is retained through Z-spring made of 1.02 mm thick wire. Due to the thick gauge, this spring counters postsurgery trismus and develops the seal between the acrylic plate and dorsum of the tongue during deglutition thus helps the patient in taking a soft diet initially. Novelty in this case is the design of the spring, which makes it beneficial for both patient and prosthodontist.http://www.j-ips.org/article.asp?issn=0972-4052;year=2022;volume=22;issue=4;spage=405;epage=409;aulast=Chaturvedidelayed surgical obturatormaxillary carcinomamucormycosisspring-retained obturatortotal maxillectomy |
| spellingShingle | Anandmayee Chaturvedi Kumari Deepika Rekha Gupta Intraoral customized Z-spring-retained delayed surgical obturator for rare cases of bilateral subtotal maxillectomy The Journal of Indian Prosthodontic Society delayed surgical obturator maxillary carcinoma mucormycosis spring-retained obturator total maxillectomy |
| title | Intraoral customized Z-spring-retained delayed surgical obturator for rare cases of bilateral subtotal maxillectomy |
| title_full | Intraoral customized Z-spring-retained delayed surgical obturator for rare cases of bilateral subtotal maxillectomy |
| title_fullStr | Intraoral customized Z-spring-retained delayed surgical obturator for rare cases of bilateral subtotal maxillectomy |
| title_full_unstemmed | Intraoral customized Z-spring-retained delayed surgical obturator for rare cases of bilateral subtotal maxillectomy |
| title_short | Intraoral customized Z-spring-retained delayed surgical obturator for rare cases of bilateral subtotal maxillectomy |
| title_sort | intraoral customized z spring retained delayed surgical obturator for rare cases of bilateral subtotal maxillectomy |
| topic | delayed surgical obturator maxillary carcinoma mucormycosis spring-retained obturator total maxillectomy |
| url | http://www.j-ips.org/article.asp?issn=0972-4052;year=2022;volume=22;issue=4;spage=405;epage=409;aulast=Chaturvedi |
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