Purpose: Previously, we demonstrated the efficacy of rehabilitation programs after maxillofacial surgery. In the present study, we extracted and summarized recommendations for the successful and comprehensive treatment of malignant tumors in the maxillofacial area. Material and methods: We analyzed the medical histories and ambulatory cards of 107 oncological patients with postoperative maxillofacial defects who underwent various prosthetic procedures. Results: Using polyurethane plastics to produce a protective plate on the day of surgery is necessary to improve the shortterm results of orthopedic treatment. The classification of the defect, selection of prosthesis according to the classification, applying the prosthesis without delay, and functional restoration by articulation gymnastics and mechanotherapy compose of the comprehensive approach for the defect at maxillofacial area after surgery. Conclusions: We propose that integrating the benefits from each treatment method and rehabilitation process would further improve quality of life after resection of maxillofacial tumors.
Background: This study aimed to demonstrate the usefulness of our rehabilitation program after extensive surgeries in patients with maxillofacial area (MFA) and neck tumors. Methods: Data from patients who underwent surgery in the clinics of the Republican Oncological Research Center and the Tashkent Institute of Postgraduate Medical Education for MFA and neck tumors were retrospectively analyzed. The patients were enrolled to our rehabilitation program, which consisted of a three-staged technique involving a complex prosthesis, and several physical therapies for damaged functions, such as chewing, swallowing, and breathing. Results: A total of 107 oncological patients with postsurgical defects were fitted with various types of prosthesis. The introduction of our rehabilitation program was performed at an interval between initial surgery and prosthesis formation of 10-15 days, and between initial surgery and preparation of the final prosthesis of 26-30 days. A restoration of the Karnofsky performance status to 80%-85% was observed. Conclusion: The present study demonstrates that our rehabilitation program is useful for shortening the postoperative convalescent period and improving the quality of life of patients with defects of the MFA and neck.
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