title: Retrospective review of 78 rehabilitated head and neck postoncological patients: a new classification method.
abstract: BACKGROUND
  Numerous studies have been published about the prosthetic rehabilitation of the postoncological maxillo-facial patient, but the guidelines that emerge lack a correlation between the anatomical classification of the treated site, which generally is preparatory upon surgery, and the type of prosthetic rehabilitation appropriate to the new anatomical and functional condition. With this correlation, it would be possible to obtain a multidisciplinary and predictable therapeutic process, able to identify from the beginning the best type of prosthetic rehabilitation.
  
  
  METHODS
  The authors analyzed a sample of 78 patients treated in the Maxillofacial Surgery Unit of "Sapienza" University of Rome for a tumor of the head and neck area, and at a later stage prosthetically rehabilitated in the years from 2010 to 2013 in the Prosthetic Rehabilitation Unit of the same University because of the consequences of the ablative surgery. After having analyzed data concerning the treatment of the maxillofacial tumor, Authors classified the kind of prosthetic rehabilitation. Removable prosthesis was chosen in 18 cases, while implant (or teeth)-supported rehabilitation was performed in 60 cases.
  
  
  RESULTS
  Authors correlated the kind of surgical reconstruction to the prosthetic rehabilitation performed. In the maxilla removable prosthesis was chosen in 8 cases, while implant supported rehabilitation was performed in 18 cases. In the mandible 10 cases were rehabilitated through a removable prosthesis and 42 through a teeth or implant supported prosthesis.
  
  
  CONCLUSIONS
  It is evident the need to perform a careful evaluation of the patient, in order to identify the best possible prosthetic rehabilitation.
authors: Department of Oral And Maxillo‑Facial Sciences, "Sapienza" University of Rome, Rome, Italy - edoardo.brauner@uniroma1.it.
authors: Edoardo
authors: E
authors: Brauner
authors: Valentino
authors: V
authors: Valentini
authors: Sara
authors: S
authors: Jamshir
authors: Giorgio
authors: G
authors: Guarino
authors: Andrea
authors: A
authors: Battisti
authors: Maria Teresa
authors: MT
authors: Fadda
authors: Giorgio
authors: G
authors: Pompa
mesh_terms: D016025:Bone Transplantation; D003131:Combined Modality Therapy; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D003828:Denture, Overlay; D058752:Free Tissue Flaps; D006801:Humans; D007573:Jaw Neoplasms / Q000534:rehabilitation* / Q000601:surgery / Q000628:therapy; D008409:Mastication; D008447:Maxillofacial Prosthesis; D019931:Maxillofacial Prosthesis Implantation; D009055:Mouth / Q000293:injuries; D009361:Neoplasm Invasiveness; D010256:Paranasal Sinuses / Q000601:surgery; D018579:Patient Selection; D011183:Postoperative Complications / Q000601:surgery; D011474:Prosthesis Design; D011832:Radiation Injuries / Q000209:etiology / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000145:classification; D020127:Recovery of Function; D012189:Retrospective Studies; D014059:Tongue / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants