PMC2627816_01
Immediate obturator with Adams retention clasp.
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F1
After the removal of the tumor, tissue conditioning material was placed over the extension of the immediate obturator to fit the surgical defect accurately and to support the defect area and split-skin grafts (Fig. 1).
Intraoral view of interim obturator.
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F2
The patient demonstrated good postoperative progress and 10 days after the surgery the immediate prosthesis was subsequently replaced by an interim obturator (Fig. 2) which was then replaced with a definitive prosthesis after three months (Fig. 3).
Extraoral view of patient no 1 who used immediate and interim obturator.
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F4
The problem was tolerated by the patient and he has been satisfied with his appearance (Fig. 4) as well as the functions.
PMC2627816_02
Extraoral view of patient no 2 who received no immediate obturator, left mid-facial region collapsed.
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F5
The adversely contracted soft tissues did not permit an ideal prosthetic rehabilitation (Fig. 5).
PMC2627816_03
Pre-op photograph of patient no 3.
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F6
24 years old female patient was referred with a swelling localized on her left cheek (Fig. 6).
Spiessl type immediate obturator with loops inserted.
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F7
Spiessl type surgical obturator was constructed on cast models obtained prior to surgery utilizing polymethyl metacrilate resin material with loops inserted for perizygomatic and transmaxillary ligature (Fig. 7).
Facial view of patient no 3 after 5 years surgery.
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F8
A Serious deformity was seen 5 years after surgery (Fig. 8) when she returned requesting some restoration of her facial appearance.