Tumor surgery in the orofacial region frequently requires resection of major parts of the jawbone and the adjacent facial and pharyngeal soft tissue resulting in large-scale hard and soft tissue defects. Consequences of such defects may include masticatory dysfunction, speech disturbances and swallowing problems as well as significant aesthetic impairment for the patients concerned. Thus, comprehensive therapy with reconstruction of the missing tissue and subsequent prosthetic rehabilitation is of major importance for restoring and improving the tumor patient’s quality of life. The case reported illustrates the stepwise prosthetic rehabilitation of masticatory function in a patient after radiochemotherapy and surgical treatment of a squamous cell carcinoma in the right retromolar trigone (T4N2bM0) with neck dissection, hemimandibulectomy and mandibular reconstruction with titanium plate and pectoralis major flap.
Published on: Jan 9, 2017 Pages: 9-13