Functional Reconstruction of the Oral Cavity

Neligan, Peter C.; Gullane, Patrick; Gilbert, Ralph W.

doi:10.1007/s00268-003-7108-3

Cited by 33 publications

(20 citation statements)

References 80 publications

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“…In assessing the treatment strategy, surgeons should attempt to gain the best loco‐regional control rate with due consideration to the potential impact of such procedures on speech, swallowing, and cosmetic outcomes. Immediate reconstruction should be performed after primary tumor resection and its extent, together with the tongue subsite involved, influences the severity of the subsequent functional impairment …”

Section: Introductionmentioning

confidence: 99%

Classification of tongue cancer resection and treatment algorithm

Mannelli

Arcuri

Agostini

et al. 2018

Journal of Surgical Oncology

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Section: Introductionmentioning

confidence: 99%

Classification of tongue cancer resection and treatment algorithm

Mannelli

Arcuri

Agostini

et al. 2018

Journal of Surgical Oncology

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“…Disa found that most defects can be reconstructed with jejunum, rectus, forearm and fibula flap [42]. Neligan postulated that 2 flaps are sufficient for most intraoral reconstructions: radial forearm flap for restoration of the intraoral lining [34], and the fibula osteocutaneous flap for mandible reconstruction, as it provides a good quality and quantity bone stock with a reliable skin paddle [43].…”

Section: Discussionmentioning

confidence: 99%

Complex reconstructions in head and neck cancer surgery: decision making

Wehage

Fansa

2011

Head Neck Oncol

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Defects in head and neck after tumor resection often provide significant functional and cosmetic deformity. The challenge for reconstruction is not only the aesthetic result, but the functional repair. Cancer may involve composite elements and the in sano resection may lead to an extensive tissue defect. No prospective randomized controlled studies for comparison of different free flaps are available. There are many options to cover defects and restore function in the head and neck area, however we conclude from experience that nearly all defects in head and neck can be closed by 5 different free flaps: radial forearm flap, free fibula flap, anterior lateral thigh flap, lateral arm flap and parascapular flap.

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“…Although many efforts are undertaken by surgeons to limit the degree of anatomical deformities during surgical resections of neoplasms, minor preprosthetic correction of the soft tissue may be helpful in some cases (like the one here presented) to eliminate unacceptable interferences of residual scar tissue with the prosthesis. The reconstruction of oral cavity defects always represents a difficult challenge depending on disease staging and patient condition [8]. Due to this unique and complex three-dimensional anatomical environment, the outcomes of reconstructive procedures are often a compromise that implies functional morbidity and, furthermore, may limit the possibility of an adequate prosthetic rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Soft Tissue Management and Prosthetic Rehabilitation in a Tongue Cancer Patient

Romeo

Lollobrigida

Palaia

et al. 2013

Case Reports in Dentistry

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One major challenge in treating head and neck oncologic patients is to achieve an acceptable recovery of physiologic functions compatible with the complete tumor excision. However, after tumor resection, some patients present a surgically altered anatomy incompatible with prosthetic rehabilitation, unless some soft tissue correction is carried out. The aim of the present study is to describe the overall mandibular prosthetic rehabilitation of a postoncologic patient focusing on the possibility of soft tissue correction as a part of the treatment. A 72-year-old woman, who undergone a hemiglossectomy for squamous cell carcinoma several years before, was referred to our department needing a new prosthesis. The patient presented partial mandibular edentulism, defects in tongue mobility, and a bridge of scar tissue connecting one side of the tongue to the alveolar ridge. A diode laser (980 nm) was used to remove the fibrous scar tissue. After reestablishing a proper vestibular depth and soft tissue morphology, two implants were placed in the interforaminal region of the mandible to support an overdenture.

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Functional Reconstruction of the Oral Cavity

Cited by 33 publications

References 80 publications

Classification of tongue cancer resection and treatment algorithm

Classification of tongue cancer resection and treatment algorithm

Complex reconstructions in head and neck cancer surgery: decision making

Soft Tissue Management and Prosthetic Rehabilitation in a Tongue Cancer Patient

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