[Restoration of oral functions following a (partial) mandibulectomy due to an oral carcinoma].
For patients diagnosed with malignant oral lesions invading the mandible, a partial or complete mandibulectomy is unavoidable. In predicting the invasion of the lesion, preoperative imaging techniques are used, such as an orthopantomogram, computed tomography, and magnetic resonance imaging. A mandibular discontinuity can be restored using a stainless steel or titanium reconstruction plate, or using autogenous non-vascularized or vascularized bone grafts. In achieving the goal of complete rehabilitation endosseous permucosal implants can be inserted in order to support a prosthesis. There is a tendency of a higher implant loss frequency among bone-grafted patients who have had implants after irradiation when compared with non-irradiated patients. After a (partial) mandibulectomy, oromandibular reconstruction by non-vascularized or vascularized bone grafts and endosseous implants provides a unique opportunity to restore some oral functions.
Dumans
A G
AG
Afdeling Mondziekten, Kaakchirurgie en Bijzondere Tandheelkunde, Erasmus Medisch Centrum, Rotterdam. a.g.dumans@erasmusmc.nl
de Baat
C
C
D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous; D019094:Dental Prosthesis, Implant-Supported; D006801:Humans; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000601:surgery / Q000628:therapy*; D019647:Oral Surgical Procedures; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome