title: [Functional reconstruction of the masticatory organ after combined therapy in a 9-year-old boy with osteosarcoma of the mandible].
abstract: Resection of the considerable part of the arch of the mandible disturbs breathing, swallowing, speaking and alters the facial symmetry. One-staged reconstruction of the mandible is contraindicated in patients with malignant tumor and serious prognosis. The course of the combined treatment in 9-year-old boy with osteosarcoma of the mandible is presented (May 1987--resection of the anterior part of the body of the mandible and suprahyoid lymphadenectomy); the most severe postoperative functional disorders were treated immediately (tracheostomy, nasogastric tube for 3 weeks). The reconstruction of the mandible and restoration of the anatomical relationship in the masticatory organ were performed after 5 years. Because of the metastatic disease in the nuchal and cervical lymph nodes boy underwent chemotherapy (Jan 5th 1988-Feb 21st 1990) of the primary site of the tumor 7 months after surgery. The following cytostatic drugs were administered; BLM, CTX, ACT-D, ADM, CDDP. The functional rehabilitation, small correctional surgery and improvement in perception in the oral cavity facilitated the restoration of important functions of the masticatory organ (proved by the following studies: gustometric, manometric, logopedic, stereognostic, rentgenotelevision of the swallowing process). In addition, the self-perception and the boy's social status improved significantly after favourable change in patient's appearance.
authors.affiliation: Kliniki Chirurgii Szczekowo-Twarzowej i Stomatologicznej Pomorskiej Akademii Medycznej w Szczecinie.
authors.forename: L
authors.initials: L
authors.lastname: Halczy-Kowalik
authors.forename: I
authors.initials: I
authors.lastname: Mazurkiewicz
authors.forename: P
authors.initials: P
authors.lastname: Juszkiewicz
mesh_terms: D002648:Child; D003131:Combined Modality Therapy; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008334:Mandible / Q000000981:diagnostic imaging / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000473:pathology / Q000628:therapy*; D012516:Osteosarcoma / Q000556:secondary / Q000628:therapy*; D011859:Radiography; D019651:Plastic Surgery Procedures