Functional evaluation following microvascular oromandibular reconstruction of the oral cancer patient: a comparative study of reconstructed and nonreconstructed patients

The Laryngoscope
Mark L UrkenW Lawson

Abstract

Over the past decade, the use of free flap transfers in head and neck surgery has led to remarkable advances in the reliability and the ultimate results of oromandibular reconstruction. Stable and retentive dental restorations have been achieved using enosseous implants placed directly into the vascularized bone flaps. However, the functional assessment of patients who underwent primary mandibular reconstruction with these techniques has not been previously reported. A group of 10 reconstructed and 10 nonreconstructed segmental hemimandibulectomy patients were compared using a battery of tests to assess their overall well-being, cosmesis, deglutition, oral competence, speech, length of hospitalization, and dental rehabilitation. In addition, objective measures of the masticatory apparatus (interincisal opening, bite force, chewing performance, and chewing stroke) were used to compare these two groups as well as normal healthy subjects and edentulous patients restored with conventional and implant-borne dentures. The results show a clear advantage for the reconstructed patients in almost all categories. Persistent problems and future directions in oromandibular reconstruction are discussed.

Citations

Jun 5, 2013·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Judit NagyKatalin Nagy
May 29, 2014·Plastic and Reconstructive Surgery·Jason K PotterMichel Saint-Cyr
Dec 17, 2003·Annals of Plastic Surgery·Essem GabrGregory R D Evans
Sep 18, 2008·The Journal of Laryngology and Otology·D M HartlF Kolb
Nov 1, 1993·Head & Neck·S J Hassan, E A Weymuller
Jul 17, 2010·Computer Methods in Biomechanics and Biomedical Engineering·Ian StavnessSidney Fels
May 25, 2001·Plastic and Reconstructive Surgery·J VerdaguerJ Acero
Jul 27, 2002·Plastic and Reconstructive Surgery·David A Hidalgo, Andrea L Pusic
Nov 3, 2010·Plastic and Reconstructive Surgery·Evan MatrosJoseph J Disa
Jul 15, 2004·Current Opinion in Otolaryngology & Head and Neck Surgery·Jeremy D Vos, Brian B Burkey
Apr 1, 1993·International Journal of Oral and Maxillofacial Surgery·P EhlingerE Fossion
May 1, 2015·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Andrew C McClaryDavud Sirjani
Apr 13, 1999·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Y DucicM D Peters
Jun 28, 2005·Clinics in Plastic Surgery·Fu-Chan WeiYuan-Cheng Chiang
Feb 1, 1994·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·B MarkowitzW Shaw
Jan 19, 2010·The British Journal of Oral & Maxillofacial Surgery·A J BarberS N Rogers
Jan 10, 2017·The British Journal of Oral & Maxillofacial Surgery·J S BrownA Schache
Jan 29, 2017·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Mohammed A Q Al-SalehHadi Seikaly
Apr 10, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Eben RosenthalMark K Wax
Apr 1, 1997·The Laryngoscope·J M KwakmanM A van Waas
Feb 27, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Kalpesh T VakhariaSteven J Wang
Sep 17, 2013·Head & Neck·Christian CorbittMatthew M Hanasono
Jan 29, 2013·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Alireza GhassemiMarcus Gerressen
Apr 18, 2009·Head & Neck·Matthew M HanasonoDavid W Chang
Sep 18, 2009·European Journal of Oral Sciences·C M SpeksnijderA van der Bilt
Nov 3, 2009·ANZ Journal of Surgery·Eric ShamAlan K Mansour
Sep 26, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Gerry F FunkRussell B Smith

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