Hard palate resection, microvascular reconstruction, and prosthetic restoration: A 14-year retrospective analysis Journal Article
| Authors: | Bernhart, B. J.; Huryn, J. M.; Disa, J.; Shah, J. P.; Zlotolow, I. M. |
| Article Title: | Hard palate resection, microvascular reconstruction, and prosthetic restoration: A 14-year retrospective analysis |
| Abstract: | Background. This retrospective analysis was conducted to evaluate self-reported patient and clinician assessed functional outcomes of patients who have undergone ablative hard palate oncologic resection and microvascular free-flap reconstruction with and without maxillofacial prosthetic intervention. Methods. All Head and Neck Surgery Service, Plastic and Reconstruction Surgery Service, and Dental Service charts and progress notes entered into the Institutional Health Care Information System of 57 patients who underwent hard palate resection and microvascular reconstruction at Memorial Sloan-Kettering Cancer Center (MSKCC) between January 1, 1988, and December 31, 2001 were reviewed retrospectively by three maxillofacial prosthodontists (BJB, JMH, IMZ). Prosthetic and nonprosthetic rehabilitation outcomes for each patient were reported as having normal; limited; or poor esthetics and function according to each prosthodontist's clinical evaluations; patients' self-perceptions; and feedback from friends, family members, and/or spouse. Speech intelligibility was determined in the same manner but reported as normal, hypernasal, and hyponasal. Results. Most of the 26 prosthetically rehabilitated patients were reported as having normal esthetics (81%), normal function (77%), normal speech (96%), and were able to return to per oral full diets (81%) without any restrictions. Conclusions. Acceptable oral rehabilitation outcomes were reported for most prosthetically rehabilitated free-flap patients. Normal speech can be anticipated with a high degree of certainty, and a high percentage of prosthetically restored free-flap patients achieved per oral diets. © 2003 Wiley Periodicals, Inc. |
| Keywords: | adolescent; adult; child; treatment outcome; aged; aged, 80 and over; middle aged; surgical technique; retrospective studies; major clinical study; squamous cell carcinoma; surgical flaps; cancer radiotherapy; sarcoma; diet; head and neck cancer; carcinoma; salivary gland cancer; free tissue graft; microvasculature; prosthesis; hard palate; maxilla resection; maxillary neoplasms; denture; tooth prosthesis; speech rehabilitation; speech intelligibility; maxillofacial prosthesis; humans; human; male; female; priority journal; article; hard palate microvascular reconstruction; prosthetic restoration; esthetics, dental; palate, hard |
| Journal Title: | Head & Neck |
| Volume: | 25 |
| Issue: | 8 |
| ISSN: | 1043-3074 |
| Publisher: | John Wiley & Sons, Inc. |
| Date Published: | 2003-08-01 |
| Start Page: | 671 |
| End Page: | 680 |
| Language: | English |
| DOI: | 10.1002/hed.10296 |
| PUBMED: | 12884351 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Export Date: 12 September 2014 -- Source: Scopus |
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