DOI QR코드

DOI QR Code

Guide flange prosthesis for early management of reconstructed hemimandibulectomy: a case report

  • 투고 : 2011.05.11
  • 심사 : 2011.06.17
  • 발행 : 2011.09.30

초록

Surgical resection of the mandible due to presence of benign or malignant tumor is the most common cause of the mandibular deviation. Depending upon the location and extent of the tumor in the mandible, various surgical treatment modalities like marginal, segmental, hemi, subtotal, or total mandibulectomy can be performed. The clinicians must wait for extensive period of time for completion of healing and acceptance of the osseous graft before considering the definitive prosthesis. During this initial healing period prosthodontic intervention is required for preventing the mandibular deviation. This case report describes early prosthodontic management of a patient who has undergone a reconstructed hemi-mandibulectomy with modified mandibular guide flange prosthesis. The prosthesis helps patient moving the mandible normally without deviation during functions like speech and mastication.

키워드

참고문헌

  1. Shafer WG, Hine MK, Levy BM, Tomich CE. A textbook of oral pathology. 4th ed. Philadelphia; WB Saunders; 1993. p. 86-229.
  2. Taylor TD. Diagnostic considerations for prosthodontic rehabilitation of the mandibulectomy patient. In: Taylor TD, editor. Clinical maxillofacial prosthetics. Chicago; Quintessence Publishing; 2000. p. 155-70.
  3. Olson ML, Shedd DP. Disability and rehabilitation in head and neck cancer patients after treatment. Head Neck Surg 1978;1:52-8. https://doi.org/10.1002/hed.2890010108
  4. Curtis DA, Plesh O, Miller AJ, Curtis TA, Sharma A, Schweitzer R, Hilsinger RL, Schour L, Singer M. A comparison of masticatory function in patients with or without reconstruction of the mandible. Head Neck 1997;19:287-96. https://doi.org/10.1002/(SICI)1097-0347(199707)19:4<287::AID-HED7>3.0.CO;2-X
  5. Komisar A. The functional result of mandibular reconstruction. Laryngoscope 1990;100:364-74.
  6. Hidalgo DA. Fibula free flap: a new method of mandible reconstruction. Plast Reconstr Surg 1989;84:71-9. https://doi.org/10.1097/00006534-198907000-00014
  7. Hidalgo DA. Aesthetic improvements in free-flap mandible reconstruction. Plast Reconstr Surg 1991;88:574-85. https://doi.org/10.1097/00006534-199110000-00003
  8. Jewer DD, Boyd JB, Manktelow RT, Zuker RM, Rosen IB, Gullane PJ, Rotstein LE, Freeman JE. Orofacial and mandibular reconstruction with the iliac crest free flap: a review of 60 cases and a new method of classification. Plast Reconstr Surg 1989;84:391-403. https://doi.org/10.1097/00006534-198909000-00001
  9. Soutar DS, Widdowson WP. Immediate reconstruction of the mandible using a vascularized segment of radius. Head Neck Surg 1986;8:232-46.
  10. Matloub HS, Larson DL, Kuhn JC, Yousif NJ, Sanger JR. Lateral arm free flap in oral cavity reconstruction: a functional evaluation. Head Neck 1989;11:205-11. https://doi.org/10.1002/hed.2880110303
  11. Marunick MT, Mathes BE, Klein BB. Masticatory function in hemimandibulectomy patients. J Oral Rehabil 1992;19:289-95. https://doi.org/10.1111/j.1365-2842.1992.tb01104.x
  12. McConnel FM, Pauloski BR, Logemann JA, Rademaker AW, Colangelo L, Shedd D, Carroll W, Lewin J, Johnson J. Functional results of primary closure vs flaps in oropharyngeal reconstruction: a prospective study of speech and swallowing. Arch Otolaryngol Head Neck Surg 1998;124:625-30. https://doi.org/10.1001/archotol.124.6.625
  13. Hsiao HT, Leu YS, Lin CC. Primary closure versus radial forearm flap reconstruction after hemiglossectomy: functional assessment of swallowing and speech. Ann Plast Surg 2002;49: 612-6. https://doi.org/10.1097/00000637-200212000-00010
  14. McConnel FM, Teichgraeber JF, Adler RK. A comparison of three methods of oral reconstruction. Arch Otolaryngol Head Neck Surg 1987;113:496-500. https://doi.org/10.1001/archotol.1987.01860050042011
  15. Pauloski BR, Rademaker AW, Logemann JA, McConnel FM, Heiser MA, Cardinale S, Lazarus CL, Pelzer H, Stein D, Beery Q. Surgical variables affecting swallowing in patients treated for oral/oropharyngeal cancer. Head Neck 2004;26:625-36. https://doi.org/10.1002/hed.20013
  16. Hsiao HT, Leu YS, Chang SH, Lee JT. Swallowing function in patients who underwent hemiglossectomy: comparison of primary closure and free radial forearm flap reconstruction with videofluoroscopy. Ann Plast Surg 2003;50:450-5. https://doi.org/10.1097/01.SAP.0000044147.09310.E8
  17. Wagner JD, Coleman JJ 3rd, Weisberger E, Righi PD, Radpour S, McGarvey S, Bayler A, Chen J, Crow H. Predictive factors for functional recovery after free tissue transfer oromandibular reconstruction. Am J Surg 1998;176:430-5. https://doi.org/10.1016/S0002-9610(98)00249-9
  18. Garrett N, Roumanas ED, Blackwell KE, Freymiller E, Abemayor E, Wong WK, Gerratt B, Berke G, Beumer J 3rd, Kapur KK. Efficacy of conventional and implant-supported mandibular resection prostheses: study overview and treatment outcomes. J Prosthet Dent 2006;96:13-24. https://doi.org/10.1016/j.prosdent.2006.05.010
  19. Desjardins RP. Relating examination findings to treatment procedures. In: Laney WR. Maxillofacial prosthetics. Littleton; PSG Publishing; 1979. p. 69-114.
  20. McGarry TJ, Nimmo A, Skiba JF, Ahlstrom RH, Smith CR, Koumjian JH, Arbree NS. Classification system for partial edentulism. J Prosthodont 2002;11:181-93. https://doi.org/10.1053/jopr.2002.126094

피인용 문헌

  1. Correction of Deviation of a Partially Resected Mandible Using a Palatal Ramp with the Aid of a Semi-Adjustable Articulator vol.24, pp.1, 2014, https://doi.org/10.1111/jopr.12173
  2. The Efficacy of Guiding Flange Appliance in Correcting Mandibular Deviation in the Hemi-Mandibulectomy Patient. A Correlative Study vol.24, pp.2, 2014, https://doi.org/10.1111/jopr.12189
  3. Practical guidelines for fabricating mandibular guide flange prostheses: A new technique for measuring the flange angulation vol.40, pp.4, 2016, https://doi.org/10.1177/0309364615574160
  4. Prosthetic rehabilitation of edentulous hemimandibulectomy patient: a clinical report vol.5, pp.11, 2017, https://doi.org/10.1002/ccr3.1125
  5. Guide flange Prosthesis for management of hemimandibulectomy vol.12, pp.2, 2011, https://doi.org/10.4103/njms.njms_36_19