Factors affecting the risk of trismus following maxillary ablative surgery comparing free flap reconstruction to prosthetic obturation: a retrospective observational study.

Autor: Jenkins GW; University of Maryland Medical Center, 22 Greene Street, Baltimore, USA. Electronic address: Glyndwr.jenkins@nhs.net., Lee CC; University of Maryland Medical Center, 22 Greene Street, Baltimore, USA., Ellabban I; The York Hospital, Wigginton Road, Clifton, York YO31 8HE, United Kingdom., Dyalram D; University of Maryland Medical Center, 22 Greene Street, Baltimore, USA., Lubek JE; University of Maryland Medical Center, 22 Greene Street, Baltimore, USA.
Jazyk: angličtina
Zdroj: The British journal of oral & maxillofacial surgery [Br J Oral Maxillofac Surg] 2024 Sep 27. Date of Electronic Publication: 2024 Sep 27.
DOI: 10.1016/j.bjoms.2024.09.005
Abstrakt: The reconstruction of post-ablative maxillary defects is controversial. It is accepted that quality of life indicators are poorer for maxillary reconstruction compared with mandibular reconstruction. One factor highlighted is that of post-treatment trismus. Rates of trismus are reviewed comparing free tissue transfer to that of prosthetic obturation. A retrospective review was undertaken comparing rates of trismus at twelve months post-surgery between free tissue transfer and prosthetic obturation. A total of 85 patients were identified who met the inclusion criteria. Both reconstruction techniques were significant for developing trismus, with a higher rate in the free flap reconstruction cohort than the prosthetic obturation cohort by a factor of 2.51. Modern reconstructive head and neck surgery has moved away from 'filling a hole' to a more bespoke, patient-specific reconstruction. The evidence presented here should allow the reconstructive surgeon to better discuss outcomes with patients when considering surgical options for Class II maxillary defects.
(Copyright © 2024 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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