Oral function after maxillectomy and reconstruction with an obturator
Identifieur interne : 001B89 ( Main/Exploration ); précédent : 001B88; suivant : 001B90Oral function after maxillectomy and reconstruction with an obturator
Auteurs : A. M. Kreeft [Pays-Bas] ; M. Krap [Pays-Bas] ; D. Wismeijer [Pays-Bas] ; C. M. Speksnijder [Pays-Bas] ; L. E. Smeele [Pays-Bas] ; S. D. Bosch [Pays-Bas] ; M. S. A. Muijen [Pays-Bas] ; A. J. M. Balm [Pays-Bas]Source :
- International journal of oral and maxillofacial surgery [ 0901-5027 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
Abstract
Maxillectomy defects can be reconstructed by a prosthetic obturator or (free) flap transfer, but there is no consensus about the optimal method. This study evaluated 32 maxillectomy patients with prosthetic obturation regarding function (mastication, subjective oral and swallowing complaints and maximal mouth opening). Outcomes were related to the extent of the resection (Brown maxillectomy classification), dentition and history of adjuvant radiotherapy. Maxillectomy defects ranged from 2-1 to 4B on the Brown classification, and most had a defect graded as 2-A or 2-B. Mean mixing ability test after 10 chewing strokes was 24.2 and after 20 chewing strokes 19.7, which compares to edentulous healthy individuals. None of the outcomes was influenced by Brown classification. Radiotherapy negatively influenced mean maximal mouth opening (29.1 mm versus 40.9 mm, p = 0.017) and subjective outcomes. Edentate obturated patients had worse outcomes than dentate patients, measured by mixing ability test and questionnaire. In conclusion, mastication after obturator reconstruction of a maxillectomy defect is comparable to mastication with full dentures. Size of the maxillectomy defect did not significantly influence functional outcome, but adjuvant radiotherapy resulted in worse mouth opening and self-reported oral and swallowing problems. Residual dentition had a positive influence on mastication and subjective outcomes.
Affiliations:
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Smeele</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute/ Antoni van Leeuwenhoek Hospital</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="07"><s1>Department of Maxillofacial Surgery, Academic Medical Center</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>5 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Bosch, S D" sort="Bosch, S D" uniqKey="Bosch S" first="S. D." last="Bosch">S. D. Bosch</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>Department of Oral Function and Restorative Dentistry, Section of Oral Implantology and Prosthodontics Research Institute Move, ACTA - Academic Dentistry Center Amsterdam</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Muijen, M S A" sort="Muijen, M S A" uniqKey="Muijen M" first="M. S. A." last="Muijen">M. S. A. Muijen</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>Department of Oral Function and Restorative Dentistry, Section of Oral Implantology and Prosthodontics Research Institute Move, ACTA - Academic Dentistry Center Amsterdam</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Balm, A J M" sort="Balm, A J M" uniqKey="Balm A" first="A. J. M." last="Balm">A. J. M. Balm</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute/ Antoni van Leeuwenhoek Hospital</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="08"><s1>Department of Otorhinolaryngology, Academic Medical Center</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>8 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">12-0413546</idno><date when="2012">2012</date><idno type="stanalyst">PASCAL 12-0413546 INIST</idno><idno type="RBID">Pascal:12-0413546</idno><idno type="wicri:Area/PascalFrancis/Corpus">000038</idno><idno type="wicri:Area/PascalFrancis/Curation">000660</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000055</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000055</idno><idno type="wicri:doubleKey">0901-5027:2012:Kreeft A:oral:function:after</idno><idno type="wicri:Area/Main/Merge">001B99</idno><idno type="wicri:Area/Main/Curation">001B89</idno><idno type="wicri:Area/Main/Exploration">001B89</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Oral function after maxillectomy and reconstruction with an obturator</title><author><name sortKey="Kreeft, A M" sort="Kreeft, A M" uniqKey="Kreeft A" first="A. M." last="Kreeft">A. M. Kreeft</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute/ Antoni van Leeuwenhoek Hospital</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Otolaryngology-Head and Neck Surgery, VU University Medical Center</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>1 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Krap, M" sort="Krap, M" uniqKey="Krap M" first="M." last="Krap">M. Krap</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>The Netherlands Cancer Institute/Antoni van Leeuwenhoek Ziekenhuis</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Center for Special Dental Care (SBT)</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Wismeijer, D" sort="Wismeijer, D" uniqKey="Wismeijer D" first="D." last="Wismeijer">D. Wismeijer</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>Department of Oral Function and Restorative Dentistry, Section of Oral Implantology and Prosthodontics Research Institute Move, ACTA - Academic Dentistry Center Amsterdam</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Speksnijder, C M" sort="Speksnijder, C M" uniqKey="Speksnijder C" first="C. M." last="Speksnijder">C. M. Speksnijder</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Department of Oral and Maxillofacial Surgery and Special Dental Care, University Medical Center Utrecht</s1><s2>Utrecht</s2><s3>NLD</s3><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Smeele, L E" sort="Smeele, L E" uniqKey="Smeele L" first="L. E." last="Smeele">L. E. Smeele</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute/ Antoni van Leeuwenhoek Hospital</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="07"><s1>Department of Maxillofacial Surgery, Academic Medical Center</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>5 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Bosch, S D" sort="Bosch, S D" uniqKey="Bosch S" first="S. D." last="Bosch">S. D. Bosch</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>Department of Oral Function and Restorative Dentistry, Section of Oral Implantology and Prosthodontics Research Institute Move, ACTA - Academic Dentistry Center Amsterdam</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Muijen, M S A" sort="Muijen, M S A" uniqKey="Muijen M" first="M. S. A." last="Muijen">M. S. A. Muijen</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>Department of Oral Function and Restorative Dentistry, Section of Oral Implantology and Prosthodontics Research Institute Move, ACTA - Academic Dentistry Center Amsterdam</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Balm, A J M" sort="Balm, A J M" uniqKey="Balm A" first="A. J. M." last="Balm">A. J. M. Balm</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute/ Antoni van Leeuwenhoek Hospital</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="08"><s1>Department of Otorhinolaryngology, Academic Medical Center</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>8 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author></analytic><series><title level="j" type="main">International journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">Int. j. oral maxillofac. surg.</title><idno type="ISSN">0901-5027</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">Int. j. oral maxillofac. surg.</title><idno type="ISSN">0901-5027</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anatomical reconstruction</term><term>Chewing</term><term>Maxillectomy</term><term>Oral administration</term><term>Quality of life</term><term>Stomatology</term><term>Surgery</term><term>Swallowing</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Reconstruction anatomique</term><term>Chirurgie</term><term>Voie orale</term><term>Maxillectomie</term><term>Mastication</term><term>Qualité de vie</term><term>Déglutition</term><term>Stomatologie</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Maxillectomy defects can be reconstructed by a prosthetic obturator or (free) flap transfer, but there is no consensus about the optimal method. This study evaluated 32 maxillectomy patients with prosthetic obturation regarding function (mastication, subjective oral and swallowing complaints and maximal mouth opening). Outcomes were related to the extent of the resection (Brown maxillectomy classification), dentition and history of adjuvant radiotherapy. Maxillectomy defects ranged from 2-1 to 4B on the Brown classification, and most had a defect graded as 2-A or 2-B. Mean mixing ability test after 10 chewing strokes was 24.2 and after 20 chewing strokes 19.7, which compares to edentulous healthy individuals. None of the outcomes was influenced by Brown classification. Radiotherapy negatively influenced mean maximal mouth opening (29.1 mm versus 40.9 mm, p = 0.017) and subjective outcomes. Edentate obturated patients had worse outcomes than dentate patients, measured by mixing ability test and questionnaire. In conclusion, mastication after obturator reconstruction of a maxillectomy defect is comparable to mastication with full dentures. Size of the maxillectomy defect did not significantly influence functional outcome, but adjuvant radiotherapy resulted in worse mouth opening and self-reported oral and swallowing problems. Residual dentition had a positive influence on mastication and subjective outcomes.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country><region><li>Hollande-Septentrionale</li><li>Utrecht (province)</li></region><settlement><li>Amsterdam</li><li>Utrecht</li></settlement></list><tree><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Kreeft, A M" sort="Kreeft, A M" uniqKey="Kreeft A" first="A. M." last="Kreeft">A. M. Kreeft</name></region><name sortKey="Balm, A J M" sort="Balm, A J M" uniqKey="Balm A" first="A. J. M." last="Balm">A. J. M. Balm</name><name sortKey="Balm, A J M" sort="Balm, A J M" uniqKey="Balm A" first="A. J. M." last="Balm">A. J. M. Balm</name><name sortKey="Bosch, S D" sort="Bosch, S D" uniqKey="Bosch S" first="S. D." last="Bosch">S. D. Bosch</name><name sortKey="Krap, M" sort="Krap, M" uniqKey="Krap M" first="M." last="Krap">M. Krap</name><name sortKey="Krap, M" sort="Krap, M" uniqKey="Krap M" first="M." last="Krap">M. Krap</name><name sortKey="Kreeft, A M" sort="Kreeft, A M" uniqKey="Kreeft A" first="A. M." last="Kreeft">A. M. Kreeft</name><name sortKey="Muijen, M S A" sort="Muijen, M S A" uniqKey="Muijen M" first="M. S. A." last="Muijen">M. S. A. Muijen</name><name sortKey="Smeele, L E" sort="Smeele, L E" uniqKey="Smeele L" first="L. E." last="Smeele">L. E. Smeele</name><name sortKey="Smeele, L E" sort="Smeele, L E" uniqKey="Smeele L" first="L. E." last="Smeele">L. E. Smeele</name><name sortKey="Speksnijder, C M" sort="Speksnijder, C M" uniqKey="Speksnijder C" first="C. M." last="Speksnijder">C. M. Speksnijder</name><name sortKey="Wismeijer, D" sort="Wismeijer, D" uniqKey="Wismeijer D" first="D." last="Wismeijer">D. Wismeijer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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