scholarly journals Rehabilitation after partial mandibulectomy - Clinical Report

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Marisa Zenha ◽  
Raquel Carvalho
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Treatment Plan ◽  
Tumour Resection ◽  
Clinical Report ◽  
Vascularized Bone Graft ◽  
Oral Function ◽  
Masticatory Efficiency ◽  
Segmental Mandibulectomy ◽  
Vascularized Bone

Purposes: The rehabilitation of oral function impairments secondary to acquired defects following segmental mandibulectomy continues to be a major challenge. The success in rehabilitating patients who had undergone tumour resection depends upon the nature and extent of the surgical defect, treatment plan, type of prothesis and patient co-operation. Removable dentures supported by remaining teeth and/or gum are often unstable and rarely satisfactory. However, given the recent advances in maxillofacial prosthetics and reconstructive surgery, it is possible to restore most individuals to nearly normal anatomy and function with immediate vascularized bone graft reconstruction followed by rehabilitation with removable or fixed implant-supported prosthesis. Case report: This case report emphasises the truly multidisciplinary approach, as it describes the prosthodontic rehabilitation of a patient with history of a segmental mandibulectomy that involved the use of a vascularized bone graft, to reconstruct the mandible, and an implant-supported fixed partial denture to restore oral function. ​Conclusions: Prosthetic rehabilitation with dental implants and fixed implant-supported prosthesis is a valid tool advocated by several authors as they provide stability with enhanced masticatory efficiency as well as aesthetics, hence providing the best dental rehabilitation with a stabilized or immobilized prothesis.

Total Talar Dislocation and Fracture Treated With a Vascularized Bone Graft: A Case Report

2004 ◽  
Vol 25 (3) ◽  
pp. 159-163 ◽  
Author(s):  
Tadashi Fujii ◽  
Hiroshi Yajima ◽  
Yasuhito Tanaka ◽  
Yoshinori Takakura
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Vascularized Bone Graft ◽  
Vascularized Bone

Vascularized bone graft from the second metacarpal to the thumb: A case report

1998 ◽  
Vol 23 (3) ◽  
pp. 541-544 ◽  
Author(s):  
Michael P. Bengoechea-Beeby ◽  
Jose L. Pellicer-Artigot ◽  
Alfonso AbascaI-Zuloaga
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Vascularized Bone Graft ◽  
Vascularized Bone

Treatment an infected pseudoarthrosis talo-navicular joint with vascularized bone graft: Case report

2017 ◽  
Vol 23 ◽  
pp. 103
Author(s):  
G. Manfredini ◽  
A. Corradini ◽  
M. Lombardi ◽  
F. Fiacchi ◽  
F. Catani
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Vascularized Bone Graft ◽  
Vascularized Bone

Prosthetic Rehabilitation of a Complete Bilateral Maxillectomy Patient Using a Simple Magnetically Connected Hollow Obturator: A Case Report

2008 ◽  
Vol 9 (1) ◽  
pp. 70-76 ◽  
Author(s):  
T. Sunil Chandra ◽  
Amar Sholapurkar ◽  
Robin Mathai Joseph ◽  
I.N. Aparna ◽  
Keerthilatha M. Pai
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Mouth Opening ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Missing Teeth ◽  
Facial Contour ◽  
Masticatory Efficiency ◽  
Full Complement ◽  
Obturator Prosthesis

Abstract Aim The purpose of this clinical report is to present a description of the prosthetic rehabilitation of a bilateral complete maxillectomy patient using a two piece magnetically connected prosthesis. Background A complete bilateral maxillectomy defect presents a considerable reconstructive challenge for the prosthodontist. It results in devastating effects on cosmetic, functional, and psychological aspects of the patient. Report A 46-year-old woman reported with a chief complaint of missing teeth in the upper jaw. Her primary concerns were a poor facial appearance, inability to chew food, and regurgitation of the food into the nasal cavity. She was diagnosed with carcinoma of the maxillary sinus, for which a bilateral maxillectomy was done followed by post surgical radiation therapy. The prosthetic treatment objectives were to separate the nasal and oral cavities, restore the mid-facial contour, and improve her masticatory functions by providing a full complement of maxillary teeth using a two-piece connected hollow obturator prosthesis connected by a magnet. Summary Insertion and removal of a large prostheses used for rehabilitation of midfacial defects requires good neuromotor coordination and an adequate mouth opening. Because these factors were problematic for this patient, the treatment plan was to fabricate a two piece magnetically connected prosthesis. After fabrication and insertion of the prosthesis, the fit between two sections was evaluated and instructions for insertion, removal, and maintenance of the obturator were given. The patient's speech, masticatory efficiency, and swallowing dramatically improved after insertion. Citation Chandra TS, Sholapurkar A, Joseph RM, Aparna IN, Pai KM. Prosthetic Rehabilitation of a Complete Bilateral Maxillectomy Patient Using a Simple Magnetically Connected Hollow Obturator: A Case Report. J Contemp Dent Pract 2008 January; (9)1:070-076.

Vascularized bone graft from the index metacarpal for Kienböck's disease: A case report

2001 ◽  
Vol 26 (3) ◽  
pp. 437-443 ◽  
Author(s):  
Michael P. Bengoechea-Beeby ◽  
Justiniano Cepeda-Uña ◽  
Alfonso Abascal-Zuloaga
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Vascularized Bone Graft ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Vascularized Bone ◽  
Kienbock’S Disease

Reverse Segmental Pedicled Ulna Transfer as a Salvage Procedure in Wrist Fusion

2001 ◽  
Vol 26 (6) ◽  
pp. 589-592 ◽  
Author(s):  
G. GERMANN ◽  
M. SAUERBIER ◽  
H. U. STEINAU ◽  
M. B. WOOD
Keyword(s):  
Bone Graft ◽  
Ulnar Artery ◽  
New Technique ◽  
Tumour Resection ◽  
Salvage Procedure ◽  
Vascularized Bone Graft ◽  
Wrist Fusion ◽  
A New Technique ◽  
Distally Based ◽  
Vascularized Bone

A new technique for wrist fusion using vascularized bone graft is described. A distally based, pedicled segment of the distal ulna, nourished by the ulnar artery or the distally based palmar-ulnar branch of the anterior interosseus artery was used in three patients to restore carpal height after infection ( n = 2) or tumour resection ( n = 1). The forearm is converted to a situation similar to a wide ulnar resection. All three wrist fusions healed uneventfully. This new technique is suitable in cases where a vascularized bone graft is required, but microsurgical techniques are not appropriate or are rejected by the patient.

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