Treatment Considerations for Mandibulectomy Patients

Prosthetic rehabilitation of patients after resection of the mandible due to operation of malignant tumors usually poses a great problem. Loss of tissues and damage caused by radiotherapy cause various functional deficiencies and dysfunction in the stomatognathic system. The study concerned treatment of a group of mandibulectomy patients with problems related mainly to restoration of jaw relationship, lack of occlusion and dysfunctions. In the escamined cases immediate or delayed reconstructive surgery had been completed before prosthetics to treat mandibular discontinuity defects. Unfortunately, many of the patients exibit lack of occlusion, mandibular deviations and torque due to incorrect muscle activity. Prosthetic management was part of a multidisciplinary approach to the problem. Treatment included myotherapy, gradual occlusal rearrangement with the use of therapeutic and corrective splints, special appliances and prostheses with leading inclined planes and guiding surfaces. The degree of success was related to the location and extent of the mandibular resection, the shape of the bone transplants and presence or absence of natural teeth. The aims of treatment realised were the restoration of acceptable occlusion and improved functional efficiency of the masticatory system

The Management of Patients after Surgical Treatment of Maxillofacial Tumors

Morphological and functional disturbances induced by postsurgical defects and loss of tissues in the stomatognathic system due to the treatment of tumors in the maxillofacial region determine the therapeutic needs of patients. The study aimed at clinical and epidemiological evaluation of patients under prosthetic treatment in order to establish the algorithm for rehabilitation. The study group was composed of the patients after midface surgery (45.74%); surgery in a lower part of the face (47.38%); mixed postoperative losses (3.44%); loss of face tissues and surgery in other locations in the head and neck region (3.44%). The supplementary treatment was applied in 69.63% of patients. Clinical and additional examinations were performed to obtain the picture of postoperative loss, its magnitude, and location to plan the strategy of prosthetic rehabilitation. The management algorithm for prosthetic rehabilitation in patients after surgical treatment of maxillofacial neoplasms was based on its division in stages. The location and magnitude of postoperative losses, as well as the implementation of supplementary treatment of the patients after treatment of maxillofacial tumors, influence the planning of prosthetic rehabilitation that plays a key role and facilitates the patients' return to their prior living situation, occupational and family lives

The Management of Patients after Surgical Treatment of Maxillofacial Tumors

Morphological and functional disturbances induced by postsurgical defects and loss of tissues in the stomatognathic system due to the treatment of tumors in the maxillofacial region determine the therapeutic needs of patients. The study aimed at clinical and epidemiological evaluation of patients under prosthetic treatment in order to establish the algorithm for rehabilitation. The study group was composed of the patients after midface surgery (45.74%); surgery in a lower part of the face (47.38%); mixed postoperative losses (3.44%); loss of face tissues and surgery in other locations in the head and neck region (3.44%). The supplementary treatment was applied in 69.63% of patients. Clinical and additional examinations were performed to obtain the picture of postoperative loss, its magnitude, and location to plan the strategy of prosthetic rehabilitation. The management algorithm for prosthetic rehabilitation in patients after surgical treatment of maxillofacial neoplasms was based on its division in stages. The location and magnitude of postoperative losses, as well as the implementation of supplementary treatment of the patients after treatment of maxillofacial tumors, influence the planning of prosthetic rehabilitation that plays a key role and facilitates the patients’ return to their prior living situation, occupational and family lives