The functional result of mandibular reconstruction
Identifieur interne : 006F49 ( Istex/Corpus ); précédent : 006F48; suivant : 006F50The functional result of mandibular reconstruction
Auteurs : Arnold KomisarSource :
- The Laryngoscope [ 0023-852X ] ; 1990-04.
Abstract
A study was performed to determine if patients who underwent mandibular reconstruction were functionally rehabilitated. Five parameters were evaluated: deglutition, mastication, cosmesis, diet, and the use of dentures. Deglutition was not improved in patients who had mandibular continuity restored. Problems with deglutition were related to soft tissue resection. Mastication was poorer in the reconstructed group due to scarring, loss of the muscles of mastication, and inhibition of compensatory mandibular motion. Cosmesis was improved in patients who had immediate restoration of mandibular continuity. Cosmesis was not improved in patients with delayed mandibular reconstruction due to previous scarring. Prosthetic rehabilitation was poor in both groups of patients. Reconstructed patients had a greater number of hospi‐talizations due to management of, or complications from reconstructive surgical procedures. The results of this study suggests that restoration of mandibular continuity does not enhance the functional rehabilitation of the majority of patients with oral‐pharyngeal malignancy.
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DOI: 10.1288/00005537-199004000-00007
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Five parameters were evaluated: deglutition, mastication, cosmesis, diet, and the use of dentures. Deglutition was not improved in patients who had mandibular continuity restored. Problems with deglutition were related to soft tissue resection. Mastication was poorer in the reconstructed group due to scarring, loss of the muscles of mastication, and inhibition of compensatory mandibular motion. Cosmesis was improved in patients who had immediate restoration of mandibular continuity. Cosmesis was not improved in patients with delayed mandibular reconstruction due to previous scarring. Prosthetic rehabilitation was poor in both groups of patients. Reconstructed patients had a greater number of hospi‐talizations due to management of, or complications from reconstructive surgical procedures. 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The results of this study suggests that restoration of mandibular continuity does not enhance the functional rehabilitation of the majority of patients with oral‐pharyngeal malignancy.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>Presented as a Candidate's Thesis to the American Laryngological, Rhinological and Otological Society, Inc., San Francisco, April 6, 1989. Recipient of the Mosher Award.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>The functional result of mandibular reconstruction</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Mandibular Reconstruction</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>The functional result of mandibular reconstruction</title></titleInfo><name type="personal"><namePart type="given">Arnold</namePart><namePart type="family">Komisar</namePart><namePart type="termsOfAddress">MD, DDS</namePart><affiliation>Departments of Otolaryngology, Lenox Hill Hospital and Albert Einstein College of Medicine Affiliated Hospitals, New York</affiliation><affiliation>Correspondence address: 1317 Third Ave., 10th Floor, New York, NY 10021</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>John Wiley & Sons, Inc.</publisher><place><placeTerm type="text">Hoboken, NJ</placeTerm></place><dateIssued encoding="w3cdtf">1990-04</dateIssued><copyrightDate encoding="w3cdtf">1990</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">10</extent><extent unit="tables">8</extent><extent unit="references">64</extent></physicalDescription><abstract lang="en">A study was performed to determine if patients who underwent mandibular reconstruction were functionally rehabilitated. Five parameters were evaluated: deglutition, mastication, cosmesis, diet, and the use of dentures. Deglutition was not improved in patients who had mandibular continuity restored. Problems with deglutition were related to soft tissue resection. Mastication was poorer in the reconstructed group due to scarring, loss of the muscles of mastication, and inhibition of compensatory mandibular motion. Cosmesis was improved in patients who had immediate restoration of mandibular continuity. Cosmesis was not improved in patients with delayed mandibular reconstruction due to previous scarring. Prosthetic rehabilitation was poor in both groups of patients. Reconstructed patients had a greater number of hospi‐talizations due to management of, or complications from reconstructive surgical procedures. The results of this study suggests that restoration of mandibular continuity does not enhance the functional rehabilitation of the majority of patients with oral‐pharyngeal malignancy.</abstract><note type="content">*Presented as a Candidate's Thesis to the American Laryngological, Rhinological and Otological Society, Inc., San Francisco, April 6, 1989. 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