The treatment of hemimaxillectomy patients include the construction of an interim obturator in the wound healing period. With the aim of simplifying this process, we describe construction of an obturator in a short single visit, in the dental chair with no need for impressions or for laboratory services. The obturator comprises: (i) the surgical obturator and (ii) a hollow light-cured resin bulb built onto the base, and providing a large surface for bonding of the soft reline material. The advantages of this approach are rapid construction and ease of ongoing adjustment during the healing process.
Intra-articular migration of an epiphysiodesis staple is an unreported complication in the literature. We report the case of a 16-year-old boy who presented with a loose distal femoral epiphysiodesis staple migrated into the posterior compartment of the knee joint. During arthroscopy, a posteromedial capsulotomy and a posterolateral portal were used and the staple was removed. This case highlights the potential complication of staple intra-articular migration and the arthroscopic approach to removal. [J Knee Surg. 2009;22:272-275.]
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