Mandible reconstruction after head and neck management for oral cancer: A case report and literature review

The use of mandibular osteotomies to allow access to tumors of the oral cavity and oropharynx is common for head and neck surgeons. However, the nature and frequency of complications associated with this procedure vary in many articles. The purpose of this study is to present a case of floor-of-mout...

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Main Authors: Sylvio Luiz Costa De-Moraes, Raissa Dias Fares, Alexandre Maurity de Paula Afonso, Roberto Gomes dos Santos, Ricardo Pereira Mattos
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Oral Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772906024003558
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author Sylvio Luiz Costa De-Moraes
Raissa Dias Fares
Alexandre Maurity de Paula Afonso
Roberto Gomes dos Santos
Ricardo Pereira Mattos
author_facet Sylvio Luiz Costa De-Moraes
Raissa Dias Fares
Alexandre Maurity de Paula Afonso
Roberto Gomes dos Santos
Ricardo Pereira Mattos
author_sort Sylvio Luiz Costa De-Moraes
collection DOAJ
description The use of mandibular osteotomies to allow access to tumors of the oral cavity and oropharynx is common for head and neck surgeons. However, the nature and frequency of complications associated with this procedure vary in many articles. The purpose of this study is to present a case of floor-of-mouth squamous cell carcinoma in a female patient who underwent radiotherapy and chemotherapy for subsequent resection of the tumor with cervical dissection (level 1,2,3) as the first surgical act by head and neck surgeons. The patient developed malocclusion and halitosis which was treated as late radiation tissue injury with prescribed hyperbaric oxygen therapy (HBOT). Although the procedure related to cancer was successful the mandible reduction and fixation were not enough. For this reason, the patient needed a second surgery for the reconstruction of the mandible using vascularized bone with maxillofacial surgeons. The patient had a good evolution, the 5-year postoperative follow-up of complete surgical removal of the cancer and reconstruction proved to be a viable resource for improving the patient's quality of life.
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id doaj-art-e7d7f7eefc8448f49a515e99b55d6961
institution Kabale University
issn 2772-9060
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publishDate 2024-06-01
publisher Elsevier
record_format Article
series Oral Oncology Reports
spelling doaj-art-e7d7f7eefc8448f49a515e99b55d69612025-01-09T06:16:34ZengElsevierOral Oncology Reports2772-90602024-06-0110100509Mandible reconstruction after head and neck management for oral cancer: A case report and literature reviewSylvio Luiz Costa De-Moraes0Raissa Dias Fares1Alexandre Maurity de Paula Afonso2Roberto Gomes dos Santos3Ricardo Pereira Mattos4Clinic for Reconstructive and Cranio-Maxillofacial Surgery at Hospital São Francisco na Providência de Deus, Rua Conde de Bonfim # 1033, Salas 102-106, Tijuca, Rio de Janeiro, 20530-001, Brazil; Department of Oral and Maxillofacial Surgery, Centro Universitário Serra dos Órgãos (UNIFESO), Av. Alberto Torres, 111 - Alto, Teresópolis, RJ, 25964-004, BrazilDepartment of Oral and Maxillofacial Surgery, Centro Universitário Serra dos Órgãos (UNIFESO), Av. Alberto Torres, 111 - Alto, Teresópolis, RJ, 25964-004, Brazil; Oral and Maxillofacial Surgery, Universidade Federal Fluminense (UFF), Niterói, R. Mario Santos Braga, 30 - Centro, Niterói, RJ, 24020-140, Brazil; Corresponding author.Clinic for Reconstructive and Cranio-Maxillofacial Surgery at Hospital São Francisco na Providência de Deus, Rua Conde de Bonfim, 1033 - Tijuca, Rio de Janeiro, RJ, 20520-053, BrazilClinic for Reconstructive and Cranio-Maxillofacial Surgery at Hospital São Francisco na Providência de Deus, Rua Conde de Bonfim, 1033 - Tijuca, Rio de Janeiro, RJ, 20520-053, BrazilClinic for Reconstructive and Cranio-Maxillofacial Surgery at Hospital São Francisco na Providência de Deus, Rua Conde de Bonfim, 1033 - Tijuca, Rio de Janeiro, RJ, 20520-053, BrazilThe use of mandibular osteotomies to allow access to tumors of the oral cavity and oropharynx is common for head and neck surgeons. However, the nature and frequency of complications associated with this procedure vary in many articles. The purpose of this study is to present a case of floor-of-mouth squamous cell carcinoma in a female patient who underwent radiotherapy and chemotherapy for subsequent resection of the tumor with cervical dissection (level 1,2,3) as the first surgical act by head and neck surgeons. The patient developed malocclusion and halitosis which was treated as late radiation tissue injury with prescribed hyperbaric oxygen therapy (HBOT). Although the procedure related to cancer was successful the mandible reduction and fixation were not enough. For this reason, the patient needed a second surgery for the reconstruction of the mandible using vascularized bone with maxillofacial surgeons. The patient had a good evolution, the 5-year postoperative follow-up of complete surgical removal of the cancer and reconstruction proved to be a viable resource for improving the patient's quality of life.http://www.sciencedirect.com/science/article/pii/S2772906024003558Mouth neoplasmsOral and maxillofacial surgeonsHead and neck neoplasmsMandible
spellingShingle Sylvio Luiz Costa De-Moraes
Raissa Dias Fares
Alexandre Maurity de Paula Afonso
Roberto Gomes dos Santos
Ricardo Pereira Mattos
Mandible reconstruction after head and neck management for oral cancer: A case report and literature review
Oral Oncology Reports
Mouth neoplasms
Oral and maxillofacial surgeons
Head and neck neoplasms
Mandible
title Mandible reconstruction after head and neck management for oral cancer: A case report and literature review
title_full Mandible reconstruction after head and neck management for oral cancer: A case report and literature review
title_fullStr Mandible reconstruction after head and neck management for oral cancer: A case report and literature review
title_full_unstemmed Mandible reconstruction after head and neck management for oral cancer: A case report and literature review
title_short Mandible reconstruction after head and neck management for oral cancer: A case report and literature review
title_sort mandible reconstruction after head and neck management for oral cancer a case report and literature review
topic Mouth neoplasms
Oral and maxillofacial surgeons
Head and neck neoplasms
Mandible
url http://www.sciencedirect.com/science/article/pii/S2772906024003558
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