Issue |
J Oral Med Oral Surg
Volume 27, Number 4, 2021
|
|
---|---|---|
Article Number | 52 | |
Number of page(s) | 7 | |
DOI | https://doi.org/10.1051/mbcb/2021016 | |
Published online | 26 October 2021 |
Original Research Article
Oral rehabilitation after squamous cell carcinoma mandibular resection
1
Department of Maxillo-Facial Surgery, University Hospital of Toulouse, Purpan, France
2
Otolaryngology, Head & Neck Surgery, King Khalid University, Abha, Kingdom of Saudi Arab
3
Laboratory of Anatomy, University Paul Sabatier: Toulouse III, Toulouse, France
* Correspondence: mylene.dimmock@gmail.com
Received:
16
March
2021
Accepted:
19
May
2021
Introduction: Squamous cell carcinoma of the oral cavity is the most common cause of mandibular defect. The functional and aesthetic impacts of this surgery must be considered. The number of mandibular resections depends on the TNM classification of the tumor. Mandibular reconstruction by a fibula free flap has become the gold standard. Unfortunately, not all mandibular resections are rehabilitated. The purpose of this study is to evaluate oral rehabilitation after mandibular resection in patients with squamous cell carcinoma. Materials and methods: A retrospective study was conducted to evaluate oral rehabilitations according to the type of surgical resection and reconstruction. The secondary evaluation criteria were type of rehabilitation, implant success rate, post-radiotherapy delay, rehabilitation success rate, and causes of non-rehabilitation. Results: The study included 157 patients with mandibular resection. Of the patients, 26.7 percent received oral rehabilitation. All rehabilitation with implants was functional. The main causes of non-rehabilitation were death or recurrences related to the progression of the disease, postoperative anatomical difficulties, and cost of oral rehabilitation. Conclusion: Oral rehabilitation after mandibular resection surgery is insufficient. A rehabilitation unit including a maxillofacial surgeon, oral surgeon, and dentist is essential. Implementation of the unit should be considered as soon as possible. The cost of rehabilitation should not be a limiting factor.
Key words: Oral rehabilitation / squamous cell carcinoma / mandibular resection / prosthodontic / dental implant
© The authors, 2021
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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