Simple prosthesis for a cancer patient with a segmental mandibulectomy and free fibula flap reconstruction: a clinical report

Tumors of the mandible often necessitate the resection of a major portion of the body of the mandible as well as tissue from the tongue. Resection of the body of the mandible often leads to discontinuity of the mandible, affecting function to a large extent. While the rehabilitation of such defects...

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Bibliographic Details
Published inGeneral dentistry Vol. 63; no. 4; p. e23
Main Authors Dholam, Kanchan, Kharade, Pankaj, Bhirangi, Pravin
Format Journal Article
LanguageEnglish
Published United States 01.07.2015
Subjects
Aged
Carcinoma, Squamous Cell - surgery
Fibula - transplantation
Free Tissue Flaps
Humans
Male
Mandible - diagnostic imaging
Mandible - surgery
Mandibular Neoplasms - surgery
Mandibular Osteotomy
Mandibular Prosthesis
Mandibular Prosthesis Implantation - instrumentation
Mandibular Prosthesis Implantation - methods
Mandibular Reconstruction - methods
Radiography, Panoramic
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Summary:Tumors of the mandible often necessitate the resection of a major portion of the body of the mandible as well as tissue from the tongue. Resection of the body of the mandible often leads to discontinuity of the mandible, affecting function to a large extent. While the rehabilitation of such defects with free fibula flaps may provide a certain level of stability to the mandible and aid in the prosthetic rehabilitation of these patients, the bulk of these flaps may create difficulties during prosthetic rehabilitation. The economic constraints of patients and/or their fear of implant surgery may also rule out prosthetic rehabilitation with implant-retained prostheses. This case report describes a simple and cost-effective method of prosthetic rehabilitation for a cancer patient who had undergone a segmental mandibulectomy followed by reconstruction with a free fibula flap.
ISSN:0363-6771