Prosthetic rehabilitation in a case of mandibulectomy with discontinuity defect.
Case report
Grigoris POLYZOIS, Mary FRANGOU, Theodoros STEFANIOTIS
Department of Prosthodontics (Movable Prosthodontics), Dental School, University of Athens, Greece
Hellenic Archives of Oral & Maxillofacial Surgery (2011) 1, 45-51
SUMMARY: Prosthetic rehabilitation of the mandible in patients who have undergone ostectomy to treat neoplasia, poses a number of special challenges. Most of these arise from the fact that the stump (remaining part) tends to deviate towards the operated side, resulting in discontinuity defects, chewing and speaking difficulties, soft tissue dysfunction in the stomatognathic system and facial asymmetry. In modern surgical oncology, the part of the mandible where the resection is made, is usually reconstructed with an au to graft or allograft, thus preventing the stump to deviate. Yet there are prosthetic difficulties, related to the type of transplant used. However, there are cases in which mandibular discontinuity defects are, for various reasons, not reconstructed. Although such cases are nowadays rare, they still never occur in clinical practice. The aim of this paper is to present the prosthetic rehabilitation of a patient with mandibular discontinuity and edentulousness after an operation to remove a neoplasm, which had not been followed by a surgical correction of the discontinuity defect.
KEY WORDS: Mandibulectomy, prosthetic rehabilitation, palatal ramp prosthesis, partial denture
REFERENCES
Αγγελόπουλος ΠΑ, Παπανικολάου Σ, Αγγελόπουλου Ε: Σύγχρονη Στοματική και Γναθοπροσωπική Παθολογία. Ιατρικές Εκδόσεις Λίτσας 2000, σελ. 384-387
Αγγελόπουλος ΠΑ, Αλεξανδρίδης Κ: Σύγχρονη Στοματική και Γναθοπροσωπική Χειρουργική. Ιατρικές Εκδόσεις Λίτσας 2004, σελ. 397-399, 773-776, 748-757
Δημητρίου Π, Ζήσης Α, Καρκαζής Η, Πολυζώης Γ, Σταυράκης Γ: Κινητή Προσθετική. Εκδόσεις Μπονισέλ 2001, σελ. 31-52, 63-76
Beumer J, Curtis TH, Marunick TM: Maxillofacial Rehabilitation, Pro - sthodontic and Surgical Considerations Inc. Ishiyaku EuroAme - rica St. Louis Tokyo 1996, pp 189-191
Cantor R and Curtis TH: Prosthetic management of edentulous man - dibulectomy patients. Part II. Clinical procedures J Prosthet Dent 25:546-555, 1971a Cantor R and Curtis TH: Prosthetic management of edentulous man - dibulectomy patients. Part I. Anatomic, physiologic, and psychologic considerations. J Prosthet Dent 25:446-457, 1971b
Desjardins PR: Occlusal considerations for the partial mandibulectomy patient J Prosthet Dent 41:308-315, 1979
Firtell ND and Curtis Th: Removable partial denture design for the mandibular resection patient. J Prosthet Dent 48:437-443, 1982
Hurvitz KA, Kobayashi M and Evans GR: Current Options in Head and Neck Reconstruction. Plast Reconstr Surg 118:122-133, 2006
Joshi RP, Saini SG, Shetty P and Bhat GS: Prosthetic rehabilitation following segmental mandibulectomy. J Indian Prosthodont Soc 8:108-111, 2008
Καρκαζής Η, Πολυζώης Γ: Εισαγωγή στην Γηροδοντιατρική και Γναθοπροσωπική Προσθετική. Εκδόσεις Μπονισέλ 1998, σελ. 257- 263
Kadota C, Sumita IY, Wang Y, Otomaru T, Mukohyama H, Fueki K, Igarashi Y and Taniguchi H: Comparison of food mixing ability among mandibulectomy patients. J Oral Rehabil 35:408-414, 2008
Kurtulmus H, Kumbuloglu O, Saygi T and User A: Management of la - teral mandibular discontinuity by maxillary guidance. Br J Oral Maxillofac Surg 46:123-125, 2008
Martin WJ, Shape JR, Jacob FR, King AG: Mandibular positioning prosthesis for the partially resected mandibulectomy patient. J Prosthet Dent 53:678-680, 1985
Moore JD and Mitchell LD: Rehabilitating dentulous hemimandi - bulectomy patients. J Prosthet Dent 35:202-206, 1976
Prakash V: Prosthetic rehabilitation of edentulous mandibulectomy patient: A clinical report. Indian J Dent Res 19:257-260, 2008
Schneider LR and Taylor TH: Mandibular resection guidance prostheses: A literature review. J Prosthet Dent 56:84-86, 1986
Taylor DT: Clinical Maxillofacial Prosthetics. Quintessence Publishing Co 2000, pp 155-188
How to cite this article:
|
View the full-text PDF:
|
| ||