“Andy Gump”

Steckler, Robert M.; Edgerton, Milton T.; Gogel, William

doi:10.1016/0002-9610(74)90272-4

Cited by 18 publications

(4 citation statements)

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“…However, mandibular resection has long been associated with a poor quality of life. In the past, the extreme deformity occasionally inflicted on patients in the pursuit of cure has been characterized by the cartoon character of “Andy Gump.”9 Although a contrary opinion was offered by Komisar,10 it is generally recognized that the restoration of mandibular continuity after hemimandibulectomy leads to improved function and a superior quality of life in appropriately selected patients. Urken et al11 and Wilson et al12 demonstrated the improved outcome with rigid reconstruction vs soft tissue only.…”

mentioning

confidence: 99%

Longitudinal health‐related quality of life after mandibular resection for oral cancer: a comparison between rim and segment

et al. 2003

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confidence: 99%

Longitudinal health‐related quality of life after mandibular resection for oral cancer: a comparison between rim and segment

et al. 2003

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“…Historically, segmental mandibular resection left patients significantly disabled, horribly disfigured, and socially isolated due to a lack of reliable reconstructive methods [1]. However, through advances made in reconstructive microsurgery over the last three decades not only have the boundaries of mandibular tumor respectability been extended, but surgeons can now also expect reasonable postoperative functional and aesthetic outcome [2,3].…”

Section: Introductionmentioning

confidence: 99%

Complete rehabilitation of the mandible following segmental resection

Schrag

Chang

Tsai

et al. 2006

Journal of Surgical Oncology

110

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Segmental resection of the mandible leads to significant patient morbidity. Loss of mandibular support to the teeth, tongue and lip causes dysfunctional mastication, swallowing, speech, airway protection and oral competence. Patients also suffer disfigurement following segmental mandibulectomy because the mandible is an important aesthetic landmark. The degrees to which dysfunction and disfigurement occur depend both on the location of the mandibular segment removed and the amount of surrounding soft tissue excised. Between January 1985 and December 2004, 780 fibula osteoseptocutaneous flaps have been used for head and neck reconstruction at the Chang Gung Memorial Hospital, Taiwan. The fibula flap has proven to be the bony flap of choice because it has a lengthy bicortical segment of bone available, a reasonably long vascular pedicle, large diameter vessels, good bone quality, and is easily contoured with multiple osteotomies. The flap can be harvested while ablation is being performed. In addition, a reliable, mobile, thin skin component can always be included to address the soft tissue reconstructive requirements. A chimeric design employing a portion of the soleus muscle can provide further reconstructive options. Ideally complete rehabilitation of the mandible involves placement of titanium osseointegrated implants, which allow dental restoration. Primary placement of implants is preferred in patients without cancer. Selection of candidates to receive osseointegrated implants is paramount. The temporomandibular joint remains a challenge to reconstruct adequately.

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“…Oral and oropharyngeal cancer (henceforth oral cancer), and its treatment, have major impacts on the physical, psychological and social well‐being of affected individuals. Historically, treatment of oral cancer requiring mandibular resection caused the characteristic ‘Andy Gump’ facial deformity (114) (Fig. 1).…”

Section: Introductionmentioning

confidence: 99%