A review of functional outcomes related to prosthetic treatment after maxillary and mandibular reconstruction in patients with head and neck cancer.

摘要: Purpose This review examined literature that reported functional outcomes across 3 categories of prosthetic treatment after microvascular reconstruction the maxilla and mandible: (1) conventional dental/tissue-supported prosthesis, (2) implant-retained (3) no prosthesis. Materials methods Library databases were searched for articles related to mandible, references selected hand searched. Relevant was identified reviewed with criteria specified a priori. Results Forty-nine met inclusion criteria. Twelve on function maxillary reconstruction, majority reporting 1 6 subjects. Thirty-nine mandibular reconstruction. Speech satisfactory all groups. Swallowing reports indicated many patients who received either type rehabilitation resumed normal diet, whereas those without often restricted liquid diets or feeding tubes. Patients reportedly had poor masticatory ability, allowed some recovery mastication resulted in most favorable outcomes. Quality-of-life similar patients. Conclusions Several limitations current prevented definitive conclusions from being reached within this review, especially regarding However, recognition these can direct assessment future.