Quality of life of patients with segmental mandibular resection and immediate reconstruction with plates

Introduction: The surgical management of some head and neck pathology affects a patient’s form, fundamental function and eventually the quality of the individual’s daily life. Restoring mandibular continuity following resection will improve these form, function and eventually quality of life (QOL).

Aim: The aim of this study was to evaluate the effect our limited restoration with immediate plate reconstruction following segmental mandibular resection has, on the QOL of a patient.

Method: A total of thirteen patients were included in the study. They were treated for benign but aggressive mandibular pathology. Treatment included segmental mandibular resection with immediate plate reconstruction. A modified university of Washington QOL questionnaire was used to asses QOL. Data on clinicodermographic variables were also collated.

Results: A total of seventeen surgeries were undertaken with sixteen implants placed. Patients with smaller tumours seemed to have had better QOL scores than those with larger tumours. The overall QOL scores for younger patients seemed better than that of older patients. Spontaneous regeneration of the mandible, experienced in our younger patients was an added reason for this seemingly better QOL.

Conclusion: It was concluded that patients with segmental mandibulectomy and spontaneous mandibular regeneration tended to have a better QOL than those with surgery and no reconstruction and surgery with immediate plate reconstruction respectively.

Conflict of interest: None declared.

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Jan 27, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Quality of life of patients with segmental mandibular resection and immediate reconstruction with plates
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