Assessment of Quality of Life After Implant-Retained Prosthetically Reconstructed Maxillae and Mandibles Postcancer Treatments

Dholam, Kanchan; Bachher, Gurmit K; Yadav, Prabha; Quazi, Gazwan Ahmed; Pusalkar, Hrishikesh A.

doi:10.1097/id.0b013e31820031ab

Cited by 27 publications

(33 citation statements)

References 26 publications

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“…Dental implants belong to rehabilitation if patient is disease free, motivated and in good condition and the bony structure allows implant surgery. Irradiation has a negative impact on bone regeneration and it is shown that failure rate on dental implantation raises due to irradiation of the fibular bone flap [14,15]. This might argue on behalf of the preoperative irradiation or chemoradiation if combination therapy is needed as it is saving the microvascular bone flap from irradiation in the treatment protocol.…”

Section: Discussionmentioning

confidence: 96%

Mandibular reconstruction using free bone flap after preoperative chemoradiation

Irjala

Kinnunen

Aitasalo

2011

Eur Arch Otorhinolaryngol

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When treating head and neck cancer of an advanced stage, additional therapy modalities are often combined with surgery. This sets new challenges for the reconstructive surgery, especially after segmental mandibulectomy. There is continuous discussion considering the optimal timing of the surgery with relation to other treatment methods such as radiation therapy and chemotherapy. In this work, we have analyzed a series of 10 patients treated with segmental mandibulectomy and preoperative irradiation or chemoradiation in our institute between 1999 and 2006. Surgery was scheduled within 5 weeks from the radiation therapy. 9 out of 10 reconstruction flaps were vital at the last follow-up. In general the outcome of these patients was consistent with the results published earlier by other institutes using postoperative irradiation or chemoradiation. We conclude that preoperative irradiation does not have negative impact on microvascular reconstruction with free bone flap and this procedure offers an equal option for the treatment of these patients.

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Section: Discussionmentioning

confidence: 96%

Mandibular reconstruction using free bone flap after preoperative chemoradiation

Irjala

Kinnunen

Aitasalo

2011

Eur Arch Otorhinolaryngol

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“…Significant improvement in prosthesis and patients' satisfaction with implant‐retained prosthesis compared to non‐implant‐retained prosthesis was observed . General QoL and oral function, including chewing ability, speech, and swallowing subjective evaluation after implant‐prosthetic treatment, showed no significant improvement compared to the preoperative condition . However, the European Organization for Research and Treatment of Cancer head and neck module questionnaire and the Oral Health Impact Profile questionnaire showed beneficial changes in some items after implant‐prosthetic treatment .…”

Section: Resultsmentioning

confidence: 90%

“…The report period in most of the publications was between 4 and 36 months, and one publication reported up to 18 years (Table ). Among these publications, six reported mandibular cases, one reported maxillary cases, and one reported both mandibular and maxillary cases . Split skin graft, soft tissue free flap, fibula‐vascularized free flap, or primary closure were performed after ablative surgery.…”

Section: Resultsmentioning

confidence: 99%

“…Split skin graft, soft tissue free flap, fibula‐vascularized free flap, or primary closure were performed after ablative surgery. Implants were placed in native or reconstructed maxillary or mandibular bone in seven publications, while implants were placed in the zygomatic bone in one publication . Implants were inserted after healing of the resection sites and resolution of acute radiation therapy effects in six publications, while in the other two publications, implants were inserted immediately following ablative surgery .…”

Section: Resultsmentioning

confidence: 99%

“…Complete or partial, fixed, or removable implant‐supported/retained prostheses were used in the included publications. Three publications evaluated chewing ability, masticatory performance, and neuromuscular function, and the other five publications used questionnaire as a method of evaluation . Objective speech evaluation was performed in one publication that used questionnaire for evaluation …”

Section: Resultsmentioning

confidence: 99%

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Systematic review of literature: functional outcomes of implant‐prosthetic treatment in patients with surgical resection for oral cavity tumors

Said

Otomaru

Sumita

et al. 2016

J of Invest & Clin Dent

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The current systematic review was performed to assess the functional outcomes of implant-prosthetic treatment on patients who have had surgical resection of oral cavity tumors. The assessment of function, satisfaction, or quality of life (QoL) were the major outcomes that evaluated preoperative and/or before and after implant-prosthetic treatment. Only eight published studies fulfilled the inclusion criteria. Three publications evaluated chewing ability, masticatory performance, and neuromuscular function, and the other five publications used questionnaire as a method of assessment. These publications mainly reported on implant-prosthetic treatment in mandibulectomy patients. It was found that implant-retained prosthesis had a beneficial effect on masticatory performance and masseter muscle activity on the defect side, but not on the non-defect side. Swallowing threshold performance and jaw movement parameters showed no significant differences between non-implant-retained prosthesis and implant-retained prosthesis. Significant improvement in prosthesis and patients' satisfaction with implant-retained prosthesis compared to non-implant-retained prosthesis was observed. However, general improvement in patients' QoL was not observed after implant-prosthetic treatment. Patients with intraoral resection might benefit from implant-retained prosthesis with regard to masticatory function and satisfaction. However, future clinical trials with an adequate sample size are needed to identify the group of patients who are likely to benefit from the implant-prosthetic treatment modality.

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Interventions for head and neck cancer survivors: Systematic review

et al. 2022

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Background Interventions for head/neck cancer (HNC) survivors may not address their cancer‐related and general health needs. Methods Preferred Reporting Items for Systematic Reviews and Meta‐Analysis (PRISMA) guided this systematic review of studies from 2000 to 2021 of interventions targeting cancer survivors treated with curative‐intent, using MEDLINE, Embase, Emcare, and PsycINFO. Interventions were categorized into domains of the Quality of Cancer Survivorship Care Framework to characterize the scope and quality of interventions. Results We identified 28 studies for inclusion: 13 randomized and 15 non‐randomized. Most targeted surveillance/management of physical effects (n = 24) including 13 that also targeted psychosocial effects. Four studies addressed prevention/surveillance for recurrence/new cancers, one addressed health promotion/disease prevention, and one addressed chronic medical conditions. Most studies (n = 27) had medium‐high risk of bias. Conclusions There are few high‐quality studies addressing HNC survivorship. Future rigorously designed studies should address broader areas of care, including chronic disease management and health promotion/disease prevention.

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Assessment of Quality of Life After Implant-Retained Prosthetically Reconstructed Maxillae and Mandibles Postcancer Treatments

Abstract: Reconstruction and rehabilitation of the jaws affected by tumor restores the patient anatomically, esthetically, and functionally to optimum levels. However, a study with larger numbers of patients is necessary to ascertain the benefits of this treatment modality.

Cited by 27 publications

References 26 publications

Mandibular reconstruction using free bone flap after preoperative chemoradiation

Mandibular reconstruction using free bone flap after preoperative chemoradiation

Systematic review of literature: functional outcomes of implant‐prosthetic treatment in patients with surgical resection for oral cavity tumors

Interventions for head and neck cancer survivors: Systematic review

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