Mandibular Reconstruction Post Mandibular Resection Operation in Head and Neck Tumor Patients at Dr Soetomo General Hospital
Main Article Content
Surgeons still find challenges with mandibular reconstruction following removal of head and neck malignancies, osteomyelitis, and osteoradionecrotic mandible. Mastication, articulation, swallowing, and breathing issues can all result from the loss of a portion of the mandibular bone as a result of resection. Improved function, contour, and aesthetics are the goals of comprehensive mandibular reconstruction. Over the past few decades, various mandibular reconstructive techniques have been developed, along with their potential for difficulties. This research was an observational descriptive study with retrospective data collected from January 2018 to May 2022 to identify the clinical outcomes of patients undergoing post-resection mandibular reconstruction and the profile of patients with head and neck tumors at Dr. Soetomo General Hospital, Surabaya. We analyze a total of 55 patients. The majority of mandibular reconstruction patients at RSUD Dr. Soetomo Surabaya following resection are in the age range of 40 to 49 years, with the majority of abnormalities resulting from ameloblastoma. The reconstruction plate was the most often used reconstructive technique for mandibular deformity, which measured around 8 cm in length. In this study, the exposed plate was the most frequent problem, and the average period of mandibular reconstructive therapy was about 8 days. Mandibular reconstruction can give different results in each patient. For patients with recurring head and neck cancers, in particular, adequate cosmetic and functional outcomes, as well as radiation tolerance, are necessary.
Bellei, B. et al. (2020) ‘The Role of Dermal Fibroblasts in Nevoid Basal Cell Carcinoma Syndrome Patients: An Overview’, International Journal of Molecular Sciences, 21(3), p. 720. doi: 10.3390/ijms21030720.
Bosc, R. et al. (2017) ‘Mandibular reconstruction after cancer: an in-house approach to manufacturing cutting guides.’, International journal of oral and maxillofacial surgery, 46(1), pp. 24–31. doi: 10.1016/j.ijom.2016.10.004.
Genden, E. M. and Varvares, M. A. (2008) Head and Neck Cancer: An Evidence-based Team Approach. Thieme (Thieme Publishers Series). Available at: https://books.google.co.id/books?id=ned0Oxcr2CwC.
Johnson, N. R. et al. (2014) ‘Frequency of odontogenic cysts and tumors: a systematic review.’, Journal of investigative and clinical dentistry, 5(1), pp. 9–14. doi: 10.1111/jicd.12044.
Kakarala, K. et al. (2018) ‘Mandibular reconstruction’, Oral Oncology, 77(December 2017), pp. 111–117. doi: 10.1016/j.oraloncology.2017.12.020.
Kao, A. M. et al. (2019) ‘Outcomes of open abdomen versus primary closure following emergent laparotomy for suspected secondary peritonitis: A propensity-matched analysis’, Journal of Trauma and Acute Care Surgery, 87(3), pp. 623–629. doi: 10.1097/TA.0000000000002345.
Knott, P. D. et al. (2007) ‘Evaluation of hardware-related complications in vascularized bone grafts with locking mandibular reconstruction plate fixation.’, Archives of otolaryngology--head & neck surgery, 133(12), pp. 1302–1306. doi: 10.1001/archotol.133.12.1302.
Kumar, B. P. et al. (2016) ‘Mandibular Reconstruction: Overview’, Journal of Maxillofacial and Oral Surgery, 15(4), pp. 425–441. doi: 10.1007/s12663-015-0766-5.
Markwardt, J. et al. (2007) ‘Analysis of complications after reconstruction of bone defects involving complete mandibular resection using finite element modelling.’, Onkologie, 30(3), pp. 121–126. doi: 10.1159/000098848.
Mauludin, A. and Pramanik, F. (2017) ‘The radiographic imaging and management of basal cell type ameloblastoma with hemimandibulectomy: a case report’, International Journal of Oral and Maxillofacial Surgery, 46, p. 291. doi: 10.1016/j.ijom.2017.02.980.
Melville, J. C. et al. (2020) ‘Is Reconstruction of Large Mandibular Defects Using Bioengineering Materials Effective?’, Journal of Oral and Maxillofacial Surgery, 78(4), pp. 661.e1-661.e29. doi: https://doi.org/10.1016/j.joms.2019.11.024.
Niu, B. et al. (2018) ‘Mortality from Spontaneous Bacterial Peritonitis Among Hospitalized Patients in the USA’, Digestive Diseases and Sciences, 63(5), pp. 1327–1333. doi: 10.1007/s10620-018-4990-y.
Ruslin, M. et al. (2018) ‘The Epidemiology, treatment, and complication of ameloblastoma in East-Indonesia: 6 years retrospective study’, Medicina oral, patologia oral y cirugia bucal, 23(1), pp. e54–e58. doi: 10.4317/medoral.22185.
Saghravanian, N. et al. (2016) ‘A 40-year Retrospective Clinicopathological Study of Ameloblastoma in Iran.’, Asian Pacific journal of cancer prevention?: APJCP, 17 2, pp. 619–623.
Sarlabous, M. and Psutka, D. J. (2018) ‘Treatment of Mandibular Ameloblastoma Involving the Mandibular Condyle’, Journal of Craniofacial Surgery, 29(3), pp. e307–e314. doi: 10.1097/SCS.0000000000004362.
Septian, A., Sulistyani, L. D. and Nasuri, E. (2022) ‘Rekonstruksi defek plat mandibula dengan fasciocutaneous advancement flapMandibular plate defect reconstruction with fasciocutaneous advancement flap
’, Jurnal Kedokteran Gigi Universitas Padjadjaran, 33(3), p. 73. doi: 10.24198/jkg.v33i3.34459.
Ueyama, Y. et al. (1996) ‘Analysis of reconstruction of mandibular defects using single stainless steel A-O reconstruction plates.’, Journal of oral and maxillofacial surgery?: official journal of the American Association of Oral and Maxillofacial Surgeons, 54(7), pp. 853–858. doi: 10.1016/s0278-2391(96)90536-4.
Utama, AP., Wibowo, MD., Murtedjo,Urip. (2020). Perbandingan Status Mastikasi pada Pasien Ameloblastoma Pasca Operasi Reseksi Segmental Mandibula Tipe LC dengan Rekonstruksi Mandibula Menggunakan Plate dan Kirschner Wire di RSUD Dr. Soetomo Tahun 2015-2018. Universitas Airlangga
Yi, Z. et al. (1999) ‘Reconstruction plates to bridge mandibular defects: a clinical and experimental investigation in biomechanical aspects’, International journal of oral and maxillofacial surgery, 28(6), p. 445—450. doi: 10.1016/s0901-5027(99)80058-7.
Zhang, Z.-L. et al. (2019) ‘Miniplates Versus Reconstruction Plates in Vascularized Osteocutaneous Flap Reconstruction of the Mandible’, Journal of Craniofacial Surgery, 30(2).
