Evaluation of the Future of the Patients Operating on a Switching Mandibuletomy in Madagascar

Simon Carnot Ndrianarivony,John Bam Razafindrabe,Rantonirina Henri Andriamanantena,Fenosoa Vonimbola D’Assise Rakotoarimanana,Andrandraina Iavosoa Randrianantoandro

doi:10.4236/ss.2021.123006

Abstract

Introduction: Interruptive mandibulectomy is often unavoidable despite the functional postoperative handicaps that it generates. Plate reconstruction is the only possible reconstruction in CHUDR Antananarivo. The objective of this study is to evaluate the oral-facial functional status of patients who have undergone interruptive mandibulectomy. Methods: It is a descriptive and transversal retrospective study of 18 months from January 17, 2017 to July 17, 2018. We retained 30 patients who had undergone an interruptive mandibulectomy in the ward during the study period. We studied the state of mastication, phonation, pain, swallowing, labial continence, psychological state, deformity and satisfaction. Patients were classified into 3 groups according to type of intervention A, B and C. Results: Thirty patients were included. The type C intervention was the most frequent, followed by types B and A. The postoperative follow-up period ranged from 1 to 23 months. Chewing disorder has been encountered in more than half of cases. The phonation disorder was found in groups B and C. We found 13 cases of deformity. Patients became well integrated into society after surgery. Conclusion: Mandibulectomy creates aesthetic and functional prejudices for patients. Despite these disorders, patients adapt well to their daily lives.

Highlights

Interruptive mandibulectomy is often unavoidable despite the functional postoperative handicaps that it generates
The chewing disorder is major for patients who do not have reconstruction, it is better tolerated in patients who have a bone graft and those who wear removable dentures, but the disorder is much more severe when patients have removed their prosthesis compared to those who did not wear them [9]
We evaluated after a follow-up of 1 to 23 months the functional status of patients operated for interrupting mandibulectomy

Summary

Introduction

Interruptive mandibulectomy is often unavoidable despite the functional postoperative handicaps that it generates. The objective of this study is to evaluate the oral-facial functional status of patients who have undergone interruptive mandibulectomy. Conclusion: Mandibulectomy creates aesthetic and functional prejudices for patients Despite these disorders, patients adapt well to their daily lives. It is a larger part of the mandible that is concerned switching. Interrupting mandibulectomy, in the face of a tumor pathology, is often unavoidable despite the postoperative functional handicap, in particular mastication, aesthetic and psychological it causes [4] [5] [6] [7]. The objective of our study is to assess the oral and facial functional status of patients who have undergone interrupter mandibulectomy

Objectives

Results

Discussion

Conclusion