Volume 28, Issue 147, May 2024

Adenoid Cystic Carcinoma of the hard palate -rehabilitation with a modified surgical obturator: A case report

Mayank Chhabra, Nanditha Kumar M^♦, Ganesh S, Sowmya S

Department of Prosthodontics, JSS Dental College & Hospital, Constituent College of JSS Academy of Higher Education & Research, Mysore, Karnataka, India

^♦Corresponding Author
Department of Prosthodontics, JSS Dental College & Hospital, Constituent College of JSS Academy of Higher Education & Research, Mysore, Karnataka, India

ABSTRACT

Background: Carcinomas of the oral cavity can be debilitating, making postsurgical rehabilitation crucial for maintaining the patient's quality of life. Adenoid cystic carcinomas (ACC) represent 3% to 5% of all malignant neoplasms in the head and neck region. Case presentation: This report presents a case of adenoid cystic carcinoma of the hard palate. The patient reported swelling in the hard palate, as well as externally on the right nasolabial fold and infra-orbital region. A preliminary diagnosis of a minor salivary gland tumor was made. No distant organ metastasis had occurred. Incisional biopsy reported the swelling as adenoid cystic carcinoma of a solid pattern. A subtotal maxillectomy with radial free flap reconstruction was planned. Due to the failure of the flap reconstruction, a surgical obturator became necessary. Conclusion: The surgical obturator enhanced the patient's quality of life after surgery by incorporating teeth, a feature not found in conventional obturators. This allowed the patient to consume a soft diet more easily.

Keywords: Adenoid cystic carcinoma, obturator, Hard palate

Medical Science, 2024, 28, e47ms3355

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DOI: https://doi.org/10.54905/disssi.v28i147.e47ms3355

Published: 25 May 2024