Oral rehabilitation following fasciocutaneous free-flap reconstruction: A retrospective study

Aim: The aim of this study is to retrospectively, observe a consecutive series of patients with segmental mandibulectomy defects reconstructed with fasciocutaneous free flaps and mandibular resection prostheses, and to review treatment concepts for the management of such patients. Settings and Desig...

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Main Authors: Zain Uddin Ahmed, Joseph M Huryn, Ivana Petrovic, Evan B Rosen
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:The Journal of Indian Prosthodontic Society
Subjects:
Online Access:http://www.j-ips.org/article.asp?issn=0972-4052;year=2019;volume=19;issue=3;spage=221;epage=224;aulast=Ahmed
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author Zain Uddin Ahmed
Joseph M Huryn
Ivana Petrovic
Evan B Rosen
author_facet Zain Uddin Ahmed
Joseph M Huryn
Ivana Petrovic
Evan B Rosen
author_sort Zain Uddin Ahmed
collection DOAJ
description Aim: The aim of this study is to retrospectively, observe a consecutive series of patients with segmental mandibulectomy defects reconstructed with fasciocutaneous free flaps and mandibular resection prostheses, and to review treatment concepts for the management of such patients. Settings and Design: Observational study done at Memorial Sloan Kettering Cancer Center, New York, NY, USA. Materials and Methods: Records were reviewed of all patients who had fasciocutaneous free-flap reconstruction and fabrication of mandibular resection prostheses following segmental mandibulectomy between 2000 and 2017 at a tertiary cancer center. Mandibular resection prosthesis fabrication interval data, as well as follow-up interval data, were recorded. Statistical Analysis Used: Descriptive statistics. Results: Twenty-one consecutive patients had mandibular resection prostheses fabricated following segmental mandibulectomy and fasciocutaneous free-flap reconstruction during the study. The median time for mandibular resection prosthesis delivery following surgery was 9 months (range 4–41 months). There was a median of two-follow-up visits (range 0–4) within the first 90 days of mandibular resection prosthesis delivery. Conclusions: Oral rehabilitation with mandibular resection prosthesis following segmental mandibulectomy and fasciocutaneous free-flap reconstruction is an attainable treatment goal for the oncologic patient. Reviewing the proposed course of care is helpful for patient management.
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spelling doaj.art-a73698528ac146adae44fe075caeddbe2022-12-21T23:29:50ZengWolters Kluwer Medknow PublicationsThe Journal of Indian Prosthodontic Society0972-40521998-40572019-01-0119322122410.4103/jips.jips_97_19Oral rehabilitation following fasciocutaneous free-flap reconstruction: A retrospective studyZain Uddin AhmedJoseph M HurynIvana PetrovicEvan B RosenAim: The aim of this study is to retrospectively, observe a consecutive series of patients with segmental mandibulectomy defects reconstructed with fasciocutaneous free flaps and mandibular resection prostheses, and to review treatment concepts for the management of such patients. Settings and Design: Observational study done at Memorial Sloan Kettering Cancer Center, New York, NY, USA. Materials and Methods: Records were reviewed of all patients who had fasciocutaneous free-flap reconstruction and fabrication of mandibular resection prostheses following segmental mandibulectomy between 2000 and 2017 at a tertiary cancer center. Mandibular resection prosthesis fabrication interval data, as well as follow-up interval data, were recorded. Statistical Analysis Used: Descriptive statistics. Results: Twenty-one consecutive patients had mandibular resection prostheses fabricated following segmental mandibulectomy and fasciocutaneous free-flap reconstruction during the study. The median time for mandibular resection prosthesis delivery following surgery was 9 months (range 4–41 months). There was a median of two-follow-up visits (range 0–4) within the first 90 days of mandibular resection prosthesis delivery. Conclusions: Oral rehabilitation with mandibular resection prosthesis following segmental mandibulectomy and fasciocutaneous free-flap reconstruction is an attainable treatment goal for the oncologic patient. Reviewing the proposed course of care is helpful for patient management.http://www.j-ips.org/article.asp?issn=0972-4052;year=2019;volume=19;issue=3;spage=221;epage=224;aulast=AhmedFasciocutaneous free flapmandibular prosthesismandibular reconstructionoral rehabilitationsegmental mandibulectomysoft-tissue free flap
spellingShingle Zain Uddin Ahmed
Joseph M Huryn
Ivana Petrovic
Evan B Rosen
Oral rehabilitation following fasciocutaneous free-flap reconstruction: A retrospective study
The Journal of Indian Prosthodontic Society
Fasciocutaneous free flap
mandibular prosthesis
mandibular reconstruction
oral rehabilitation
segmental mandibulectomy
soft-tissue free flap
title Oral rehabilitation following fasciocutaneous free-flap reconstruction: A retrospective study
title_full Oral rehabilitation following fasciocutaneous free-flap reconstruction: A retrospective study
title_fullStr Oral rehabilitation following fasciocutaneous free-flap reconstruction: A retrospective study
title_full_unstemmed Oral rehabilitation following fasciocutaneous free-flap reconstruction: A retrospective study
title_short Oral rehabilitation following fasciocutaneous free-flap reconstruction: A retrospective study
title_sort oral rehabilitation following fasciocutaneous free flap reconstruction a retrospective study
topic Fasciocutaneous free flap
mandibular prosthesis
mandibular reconstruction
oral rehabilitation
segmental mandibulectomy
soft-tissue free flap
url http://www.j-ips.org/article.asp?issn=0972-4052;year=2019;volume=19;issue=3;spage=221;epage=224;aulast=Ahmed
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