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Post Tumor Ablation Mandibular Reconstruction: Review Article

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Copyright: © 2019  . This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 
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Abstract

Mandibular defects due to tumor ablation have morbidities including both function and cosmesis, and accurate Mandibular Reconstruction (MR) is demanding. Resection of the mandible is performed when a primary malignant neoplasm of the oral cavity directly extends to the gingiva covering the alveolar bone or spreads into the mandible. MR is necessary to offer these patients a better quality of life. Several useful classification systems have been designed to help in the description of mandibulectomy defects and explanation of the results. The commonest indication for MR is segmental bone loss. MR is aimed to restore the anatomy and function of the mandibular complex. Studies for assessment of the extent of malignant lesion or the fitness of the patient to withstand the planned surgery should be done routinely. Today, it is globally agreed that immediate MR is to be performed without risk for a late diagnosis of recurrent lesion. The options of MR are variable and range from simple primary closure to composite microsurgical free flaps; each modality has its advantages and drawbacks. Postoperative care should be provided to each patient individually.

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