Effect of submental flap reconstruction versus obturator rehabilitation after maxillectomy on quality of life: a randomized clinical trial

Aladashi, Omar; Shindy, Mostafa Ibrahim; Noaman, S.A.; Alqutaibi, Ahmed Yaseen; Refahee, Shaimaa Mohsen

doi:10.1016/j.ijom.2020.12.008

Cited by 11 publications

(5 citation statements)

References 27 publications

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“…Individuals who have undergone a maxillectomy often encounter recurring challenges in prosthodontic treatment related explicitly to insufficient support, retention, and stability. The extent of the defect, the number of remaining teeth, the amount of remaining bone structure, the condition of the surrounding mucosa, the impact of radiation therapy, and the patient's ability to adjust to the prosthetic device all play a role in determining the outlook for prosthodontic treatment in these individuals [ 13 ]. Saving as many remaining teeth as feasible for patients undergoing unilateral maxillectomy may be vital for optimal prosthesis design and performance [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Fabrication of a Definitive Obturator for a Patient With a Maxillary Defect: A Case Report

Farghal

2023

Cureus

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Maxillectomy defects can lead to oroantral communication, causing difficulties with chewing, swallowing, speech, and facial appearance. Prosthodontists play a crucial role in rehabilitating such defects using obturators. This case report presents the fabrication of a definitive obturator with a cast metal framework for a patient who had an acquired maxillary defect and previously experienced issues with an ill-fitting obturator. In this clinical report, the patient's canine teeth on both sides and the premolars and molars on the left side were used for rest placement. Retention was achieved by utilizing the remaining teeth, employing two embrasure Aker clasps on the left molars and premolars and a C-wrought wire clasp on the right canine. A complete palate was designed as the major connector to ensure optimal load distribution to the surrounding tissues. Additionally, an indirect retainer was planned for the right canine. This definitive prosthesis rehabilitated the patient, improving masticatory efficiency, enhancing speech clarity, and improving quality of life.

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Section: Discussionmentioning

confidence: 99%

Fabrication of a Definitive Obturator for a Patient With a Maxillary Defect: A Case Report

Farghal

2023

Cureus

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“…In a rare randomized controlled trial on the impact of obturator versus submental flap on quality of life after maxillectomy, patients reconstructed with submental flap outperformed in chewing, swallowing, speech, taste, mood and anxiety. Patients with obturators had greater improvement in appearance and masticatory function [31]. In another prospective trial comparing submental flaps to radial forearm free flaps, the two techniques found to have similar flap survival.…”

Section: Submental Artery Islandmentioning

confidence: 97%

Resurgence of regional flaps for head and neck reconstruction

Gray

Drake

Desai

2021

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review The strain on healthcare resources in light of the COVID-19 pandemic has forced many head and neck surgeons to explore reconstructive options that may decrease length of stay. Here, we review three common and versatile regional flaps used in head and neck reconstruction that are comparable alternatives to free tissue transfer. Recent findings Initial anatomic descriptions of the facial artery musculocutaneous (FAMM) flap, the supraclavicular artery island flap and the submental artery island flap were published decades ago. Since then, many have proposed modifications to these descriptions to improve technical ease and patient outcomes. Benefits of regional flaps include ease of harvest, comparable outcomes to free tissue microvascular flaps, shorter operative time and hospital length of stay. Drawbacks to regional flaps include limitations to size and reach, partial necrosis, wound dehiscence and surgeon experience. The integrity of the vascular pedicle is also contingent upon vessel preservation during the cancer ablation. Summary Although a resurgence of regional flaps began well before the COVID-19 pandemic, many institutions began looking for alternatives to free flap reconstruction to conserve healthcare resources and minimize patient hospitalization time in the past year. There has been a revival of regional flaps such as the FAMM, supraclavicular and submental flaps that are valuable reconstructive options for many defects of the head and neck.

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“…Ráadásul az érintett állcsonton, ritka kivételektől eltekintve, ez a foghiány általában sorvégi foghiány. A lokális vagy re gio ná lis lebenyek, esetleg szabadlebenyek átülte tése a területre olyan feltételeket teremt klinikai anató miai szempontból, amely esetén egy lemezes fogpótlás megtámasztása és elhorgonyzása kérdéses prognózissal valósítható meg [4]. Természetesen implantátumok behelyezésével a lemezes fogpótlás helyett rögzített fogpótlás készíthető, azonban a műtét helyén rendelkezésre álló csontkínálat vagy az esetlegesen átültetett csont minősége, sőt az adjuváns radioterápia ritkán ad erre lehetőséget [5].…”

Section: Bevezetésunclassified

Hemimaxillectomián átesett páciens protetikai rehabilitációja

et al. 2023

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A traumás vagy rezektív sebészeti okból kifolyólag kialakult oronazális vagy oroantrális fisztulák kezelésében két opció áll rendelkezésünkre: a helyreállító sebészi és a helyreállító protetikai ellátás. A választás ezen lehetőségek között azonban a legtöbbször nem egyértelmű: nem tisztázott ugyanis, hogy az adott páciens számára mely kezelési módozat kecsegtetne a legjobb eredménnyel. A cikkben bemutatott eseten keresztül, valamint a terület szakirodalmának áttekintésével körüljárjuk a kérdéskört.

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Effect of submental flap reconstruction versus obturator rehabilitation after maxillectomy on quality of life: a randomized clinical trial

Cited by 11 publications

References 27 publications

Fabrication of a Definitive Obturator for a Patient With a Maxillary Defect: A Case Report

Fabrication of a Definitive Obturator for a Patient With a Maxillary Defect: A Case Report

Resurgence of regional flaps for head and neck reconstruction

Hemimaxillectomián átesett páciens protetikai rehabilitációja

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