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


Authors: Ahmed, Z.; Huryn, J.; Petrovic, I.; Rosen, E.
Article Title: Oral rehabilitation following fasciocutaneous free-flap reconstruction: A retrospective study
Abstract: 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. © 2019 The Journal of Indian Prosthodontic Society.
Keywords: mandibular reconstruction; segmental mandibulectomy; mandibular prosthesis; fasciocutaneous free flap; oral rehabilitation; soft-tissue free flap
Journal Title: The Journal of Indian Prosthodontic Society
Volume: 19
Issue: 3
ISSN: 0972-4052
Publisher: Wolters Kluwer - Medknow Publications and Media Pvt. Ltd.  
Date Published: 2019-07-01
Start Page: 221
End Page: 224
Language: English
DOI: 10.4103/jips.jips_97_19
PROVIDER: scopus
PMCID: PMC6685344
PUBMED: 31462860
DOI/URL:
Notes: Article -- Export Date: 4 September 2019 -- Source: Scopus
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  1. Joseph M Huryn
    108 Huryn
  2. Evan Blake Rosen
    28 Rosen
  3. Zain Uddin Ahmed
    13 Ahmed