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Comparative evaluation of function after surgery for cancer of the alveolobuccal complex.

Identifieur interne : 003555 ( PubMed/Checkpoint ); précédent : 003554; suivant : 003556

Comparative evaluation of function after surgery for cancer of the alveolobuccal complex.

Auteurs : S G Patel [Inde] ; S P Deshmukh ; D N Savant ; H M Bhathena

Source :

RBID : pubmed:8648474

Descripteurs français

English descriptors

Abstract

The current study was undertaken to assess the functional deficit after hemiresection of the mandible and to determine whether lateral segment resection with reconstruction was a functionally superior alternative in the management of patients suffering from alveolobuccal cancer.

PubMed: 8648474


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pubmed:8648474

Le document en format XML

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<title xml:lang="en">Comparative evaluation of function after surgery for cancer of the alveolobuccal complex.</title>
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<name sortKey="Patel, S G" sort="Patel, S G" uniqKey="Patel S" first="S G" last="Patel">S G Patel</name>
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<nlm:affiliation>Plastic & Reconstructive Surgery Service, Tata Memorial Hospital, Bombay, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
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<name sortKey="Deshmukh, S P" sort="Deshmukh, S P" uniqKey="Deshmukh S" first="S P" last="Deshmukh">S P Deshmukh</name>
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<name sortKey="Savant, D N" sort="Savant, D N" uniqKey="Savant D" first="D N" last="Savant">D N Savant</name>
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<name sortKey="Bhathena, H M" sort="Bhathena, H M" uniqKey="Bhathena H" first="H M" last="Bhathena">H M Bhathena</name>
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<title xml:lang="en">Comparative evaluation of function after surgery for cancer of the alveolobuccal complex.</title>
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<nlm:affiliation>Plastic & Reconstructive Surgery Service, Tata Memorial Hospital, Bombay, India.</nlm:affiliation>
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<name sortKey="Deshmukh, S P" sort="Deshmukh, S P" uniqKey="Deshmukh S" first="S P" last="Deshmukh">S P Deshmukh</name>
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<name sortKey="Savant, D N" sort="Savant, D N" uniqKey="Savant D" first="D N" last="Savant">D N Savant</name>
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<name sortKey="Bhathena, H M" sort="Bhathena, H M" uniqKey="Bhathena H" first="H M" last="Bhathena">H M Bhathena</name>
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<title level="j">Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</title>
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<term>Adult</term>
<term>Aged</term>
<term>Alveolectomy</term>
<term>Attitude to Health</term>
<term>Bone Transplantation</term>
<term>Dentition</term>
<term>Eating</term>
<term>Esthetics</term>
<term>Evaluation Studies as Topic</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (physiopathology)</term>
<term>Male</term>
<term>Mandibular Neoplasms (rehabilitation)</term>
<term>Mandibular Neoplasms (surgery)</term>
<term>Mastication</term>
<term>Middle Aged</term>
<term>Mouth (physiopathology)</term>
<term>Mouth Neoplasms (rehabilitation)</term>
<term>Mouth Neoplasms (surgery)</term>
<term>Osteotomy (methods)</term>
<term>Osteotomy (rehabilitation)</term>
<term>Pectoralis Muscles (transplantation)</term>
<term>Prostheses and Implants</term>
<term>Self-Assessment</term>
<term>Speech</term>
<term>Surgical Flaps (methods)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Alvéolectomie</term>
<term>Attitude envers la santé</term>
<term>Auto-évaluation (psychologie)</term>
<term>Bouche (physiopathologie)</term>
<term>Consommation alimentaire</term>
<term>Denture</term>
<term>Esthétique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux ()</term>
<term>Mastication</term>
<term>Muscles pectoraux (transplantation)</term>
<term>Mâchoire édentée (physiopathologie)</term>
<term>Mâle</term>
<term>Ostéotomie ()</term>
<term>Ostéotomie (rééducation et réadaptation)</term>
<term>Parole</term>
<term>Prothèses et implants</term>
<term>Sujet âgé</term>
<term>Transplantation osseuse</term>
<term>Tumeurs de la bouche ()</term>
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<term>Études d'évaluation comme sujet</term>
<term>Études de suivi</term>
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<term>Osteotomy</term>
<term>Surgical Flaps</term>
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<term>Bouche</term>
<term>Mâchoire édentée</term>
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<term>Jaw, Edentulous</term>
<term>Mouth</term>
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<term>Mandibular Neoplasms</term>
<term>Mouth Neoplasms</term>
<term>Osteotomy</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Ostéotomie</term>
<term>Tumeurs de la bouche</term>
<term>Tumeurs de la mandibule</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Mandibular Neoplasms</term>
<term>Mouth Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en">
<term>Pectoralis Muscles</term>
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<term>Adult</term>
<term>Aged</term>
<term>Alveolectomy</term>
<term>Attitude to Health</term>
<term>Bone Transplantation</term>
<term>Dentition</term>
<term>Eating</term>
<term>Esthetics</term>
<term>Evaluation Studies as Topic</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Mastication</term>
<term>Middle Aged</term>
<term>Prostheses and Implants</term>
<term>Self-Assessment</term>
<term>Speech</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Alvéolectomie</term>
<term>Attitude envers la santé</term>
<term>Auto-évaluation (psychologie)</term>
<term>Consommation alimentaire</term>
<term>Denture</term>
<term>Esthétique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Mastication</term>
<term>Muscles pectoraux</term>
<term>Mâle</term>
<term>Ostéotomie</term>
<term>Parole</term>
<term>Prothèses et implants</term>
<term>Sujet âgé</term>
<term>Transplantation osseuse</term>
<term>Tumeurs de la bouche</term>
<term>Tumeurs de la mandibule</term>
<term>Études d'évaluation comme sujet</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">The current study was undertaken to assess the functional deficit after hemiresection of the mandible and to determine whether lateral segment resection with reconstruction was a functionally superior alternative in the management of patients suffering from alveolobuccal cancer.</div>
</front>
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<DateCompleted>
<Year>1996</Year>
<Month>07</Month>
<Day>25</Day>
</DateCompleted>
<DateRevised>
<Year>2010</Year>
<Month>11</Month>
<Day>18</Day>
</DateRevised>
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<ISSN IssnType="Print">0278-2391</ISSN>
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<Volume>54</Volume>
<Issue>6</Issue>
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<Year>1996</Year>
<Month>Jun</Month>
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<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
<ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Comparative evaluation of function after surgery for cancer of the alveolobuccal complex.</ArticleTitle>
<Pagination>
<MedlinePgn>698-703; discussion 703-4</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The current study was undertaken to assess the functional deficit after hemiresection of the mandible and to determine whether lateral segment resection with reconstruction was a functionally superior alternative in the management of patients suffering from alveolobuccal cancer.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Eighty-three patients were assigned to one of two main groups: Group I, hemiresection of the mandible (n = 47), and group II, lateral segment defects (n = 36). Functional assessment of patients included subjective evaluation of overall well-being, feeding, and cosmesis, as well as objective assessment of mastication, speech, and cosmesis. Mean scores for each of these categories were compared across groups using the Duncan Multiple Range Test with .01 confidence intervals.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Subjective assessment of overall well-being, feeding, and cosmesis did not yield statistically significant differences between groups. Objective evaluation of mastication showed significantly better function after hemiresection in dentate patients as compared with their edentulous counterparts. However, masticatory scores for hemimandibulectomy patients with intact residual dentition were not significantly different from those for patients whose lateral segmental defects had been reconstructed. Although objective cosmetic scores for reconstruction of lateral segment defects were significantly better than those for hemiresection of the mandible, most patients in the latter group accepted the resultant deformity as a consequence of their treatment and did not let it affect their routine activities.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Until functional results in patients undergoing lateral segmental resection for alveolobuccal cancer can be improved by better prosthetic techniques, hemiresection of the mandible remains a simple, safe, reliable, and cost-effective option that produces acceptable postoperative function.</AbstractText>
</Abstract>
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<Affiliation>Plastic & Reconstructive Surgery Service, Tata Memorial Hospital, Bombay, India.</Affiliation>
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<ForeName>H M</ForeName>
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<Language>eng</Language>
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<DescriptorName UI="D019736" MajorTopicYN="N">Prostheses and Implants</DescriptorName>
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