Comparison of maxillectomy patients with immediate versus delayed obturator prosthesis placement

Objective: To compare maxillectomy patients with immediate versus delayed placement of an obturator prosthesis in terms of patient outcomes. Design: Retrospective review. Outcome Measures: The outcomes of 23 maxillectomy patients seen between 1975 and 1993 at St. Joseph's Health Centre in London, Ontario, were analyzed. Methods: For 17 patients, a prosthesis was placed immediately as part of the operative procedure, and for 6 patients, an occlusive dressing only was placed. Results: In all parameters studied (length of stay, IV requirements, swallowing, clear fluid diet and ambulation), the prosthesis group progressed more quickly and had a more rapid return to normal function. Conclusion: This study demonstrates the benefits of immediate prostheses for maxillectomy patients and justifies their continued use.