Long-term outcome of patients with or without osseointegrated implants after resection of mandibular ameloblastoma and reconstruction with vascularized bone graft: Functional assessment and quality of life

Autor: Yang-Ming Chang, Chung-Kan Tsao, Jie Zheng, Marco Pappalardo, Man Lung Tsang, Chi-Ying Tsai
Přispěvatelé: Pappalardo M, Tsao CK, Tsang ML, Zheng J, Chang YM, Tsai CY.
Rok vydání: 2017
Předmět:
Adult
Male
Radical treatment
medicine.medical_specialty
Mandibular Ameloblastoma
Radical treatment
Segmental Resection
Fibular flap
Dental rehabilitation
Adolescent
Visual Analog Scale
Visual analogue scale
medicine.medical_treatment
Mandibular Osteotomy
Mandibular Neoplasms
Mandibular Ameloblastoma
Dental rehabilitation
Fibular flap
Segmental Resection
Aged
Ameloblastoma
Child
Female
Fibula
Humans
Middle Aged
Osseointegration
Patient Satisfaction
Quality of Life
Surgical Flaps
Young Adult
Dental Implantation
Endosseous
Dental Implants
Mandibular Reconstruction
Prosthesis
03 medical and health sciences
0302 clinical medicine
Patient satisfaction
Quality of life
Medicine
Performance status
business.industry
030206 dentistry
Surgery
Dental Implantation
030220 oncology & carcinogenesis
Segmental resection
Endosseous
business
Zdroj: Journal of plastic, reconstructiveaesthetic surgery : JPRAS. 71(7)
ISSN: 1878-0539
Popis: BACKGROUND: The optimal management after the resection of mandibular ameloblastoma has been very challenging to surgeons. The aim of this study is to evaluate the functional, aesthetic, and quality of life outcomes of patients who had a segmental mandibular resection and immediate reconstruction with or without osseointegrated implants. METHOD: Patients' demographics, tumor characteristics, treatment, and complications were retrieved. Patients were divided into two groups: dental rehabilitated vs. nondental rehabilitated depending on the placement of osseointegrated implants followed by an implanted-retained prosthesis. Functional outcomes and quality of life were assessed using the Performance Status Scale, the University of Washington Quality of Life (UW-QOL) scale, and the 14-item Oral Health Impact Profile (OHIP-14). Aesthetic outcome was evaluated by patients using a Visual Analog Scale. RESULTS: Thirty-four patients were reviewed. Twenty-two patients were included in the dental rehabilitated group and 12 in the nondental rehabilitated group. No recurrence of the tumor was found during the average follow-up period of 7.4 years. Although both groups reported a similar satisfaction in appearance, patients in the dental rehabilitated group scored significantly higher in masticatory function and "eating in public" (p
Databáze: OpenAIRE
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