Prosthodontic management of hemimandibulectomy patients to restore form and function-A case series
Prosthodontic management of hemimandibulectomy patients to restore form and function-A case series作者机构：Government Royapettah Hospital
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2017年第5卷第10期
页 面：384-389页
核心收录：
学科分类：1003[医学-口腔医学] 100302[医学-口腔临床医学] 10[医学]
基 金：Department of surgical oncology,Government Royapettah hospital,Chennai,India the Department of Plastic surgery,Rajiv Gandhi Government General hospital,Chennai,India for their valuable support
主 题：Hemimandibulectomy Mandibular deviation Guiding flange prosthesis Palatal ramp
摘 要：Surgical resection of mandible owing to benign,malignant neoplasm,osteoradionecrosis is common. The resection can be total or segmental depending on the lesion. Loss of mandibular continuity causes deviation of remaining mandibular segment towards the resected side and rotation inferiorly due to muscle pull and scar contracture affecting mastication and esthetics. Surgical reconstruction may not be always possible. Prosthetic rehabilitation plays a major role in these patients. This case series describes different types of guiding flange(GF) prosthesis with modifications for three hemimandibulectomy patients at different time interval after surgery. The article details GF prosthesis combined with physiotherapy to correct deviation of mandible thereby improving mastication,esthetics and speech and thus enhancing the quality of life.
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