Functional mandibular reconstruction of patients with oral cancer

Daniel Buchbinder, Mark L. Urken, C. Vickery, Hubert Weinberg, Alan Sheiner, Hugh Biller

Research output: Contribution to journalArticlepeer-review

57 Scopus citations

Abstract

For the patient with oral cancer who has undergone quadrant resection, mandibular reconstruction provides normalization of the lower facial contour, regained architectural support, and reestablishment of occlusal relationships. Reconstruction with vascularized bone offers the most rapid rehabilitation. Replacement of dentition provides improved deglutition, mastication, and speech. In eligible patients the use of osteointegrated implants can provide rigid stabilization for dental prostheses. In previous studies these implants were placed in a secondary procedure. In the present study microvascular mandibular reconstruction was combined with primary placement of osteointegrated implants in the treatment of seven patients. Preliminary results indicate that the combination of procedures can provide more rapid and effective rehabilitation for the patient with cancer. Issues for further study are also identified.

Original languageEnglish
Pages (from-to)499-504
Number of pages6
JournalOral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Volume68
Issue number4 PART 2
DOIs
StatePublished - Oct 1989

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