Functional outcomes and patient satisfaction after vascularized osteocutaneous scapula flap reconstruction of the mandible in patients with benign or cancerous tumours |
| |
| Institution: | 1. Faculty of Oral and Dental Medicine, Cairo University, Heliopolis, Cairo, Egypt;2. Maxillofacial Surgery Department, Ahmed Maher Teaching Hospital, Cairo, Egypt;1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cukurova University, Adana, Turkey;2. Department of Oral and Maxillofacial Surgery, Paracelsus Medical University, Salzburg, Austria;3. Orthopedics, Privat Hospital Maria Hilf, Klagenfurt, Austria;4. Department of Histology, Faculty of Medicine, Cukurova University, Adana, Turkey;1. The Research Institute of Stomatology, Nanjing Medical University, Nanjing, China;2. Department of Oral and Maxillofacial Surgery, Stomatological Hospital of Jiangsu Province, Nanjing, China;3. Department of Orthodontics, Nanjing Maternity and Child Health Care Hospital, Nanjing, China;4. Department of Prosthodontics and Implants, Jiangsu Provincial Stomatology Hospital, Stomatological Hospital of Jiangsu Province, Nanjing, China;5. Department of Stomatology, Gaoyou People''s Hospital, Gaoyou, Jiangsu Province, China;6. Department of Radiology, Stomatological Hospital of Jiangsu Province, Nanjing, China;1. Department of Craniomaxillofacial and Oral Surgery, University Hospital of Zurich, Zürich, Switzerland;2. Private Practice, Zürich, Switzerland;3. Department of Radio-oncology, University Hospital of Zürich, Zürich, Switzerland;1. Department of Clinical Oral Oncology, Unit of Translational Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan;2. Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan |
| |
| Abstract: | Pre- and postoperative longitudinal assessment of oral functions including masticatory force, masticatory ability with solids, speech intelligibility, and subjective satisfaction was conducted for patients who underwent vascularized osteocutaneous scapula flap reconstruction after mandibulectomy. Postoperative changes in oral function and patient satisfaction were examined in relation to tumour type (i.e., cancerous vs. benign). A change in masticatory force was associated with a reduction in the number of occlusal support zones after surgery and clearly differed by tumour type. Despite all patients showing reduced masticatory force postoperatively, all were satisfied with the improvements in eating and chewing, which were greater in patients with benign tumours than in those with cancerous tumours. Although both groups of patients expressed satisfaction with the aesthetic appearance after surgery, patients with cancerous tumours were more satisfied. However, both groups showed decreased speech intelligibility scores and lower satisfaction with speech after surgery. Preoperative support in the form of reassurance and helping to alleviate anxiety about postoperative appearance would be beneficial for all patients, with additional support provided based on the specific tumour type. |
| |
| Keywords: | mandibulectomy scapula bone reconstruction pre- and postoperative masticatory force solid food masticatory ability speech intelligibility subjective satisfaction |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
