How is Mandibulectomy done?
Your surgery will be done by 3 surgical teams: a head and neck team, a plastics team, and dental team. Your head and neck surgeon will remove the tumor from your jaw and the soft tissue around it. At the same time, your plastic surgeon will remove the bone, tissue, and skin from your donor site.
What is a mandibular resection?
For a mandibulectomy (or mandibular resection), the surgeon removes all or part of the jaw bone (mandible). This operation might be needed if the tumor has grown into the jaw bone. If a tumor near the jaw is hard to move when the doctor examines it, it often means that the cancer has grown into the jaw bone.
What is en bloc resection of mandible?
The procedure involves the en bloc resection of the tumor and of the alveolar ridge of the mandible with the soft-tissue tumor. The inferior border is preserved for adequate bone strength to allow for the forces of mastication.
How long does it take to recover from a Maxillectomy?
Recovery from a maxillectomy depends on the extent of the procedure you have had. Often, a one to two week hospital stay is needed. In some cases, a temporary feeding tube may be needed to provide you with nutrition during and after the healing process.
Can a jaw bone be replaced?
FULL UPPER OR LOWER JAW REPLACEMENT Cardenas can replace a full jaw with a dental implant restoration in the form of a fixed bridge or denture that results in a permanent, stable and highly esthetic solution. Dental implants, fused to the jawbone, keep the bone healthy and your teeth securely in place.
Can fibula be removed?
The fibular bone runs on the outside of the leg from the knee joint to the ankle joint. It is a small thin bone that can be entirely removed without affecting your ability to bear weight.
Can you walk without a fibula?
The fibula is a long, thin bone of the outer leg alongside the shinbone. It is sometimes used to harvest bone that can be used in certain reconstructive surgeries of bone. The fibula can be removed without impacting the individual’s ability to walk or bear weight.
How are jaw tumors removed?
During surgery, your doctor removes your jaw tumor or cyst, which may include removing nearby teeth, tissue and jawbone, and sends it to the lab for examination. A pathologist examines the removed tissue and reports a diagnosis during the procedure so that the surgeon can act on this information immediately.
Where on the body would you find the mandible?
The mandible is the largest bone in the human skull. It holds the lower teeth in place, it assists in mastication and forms the lower jawline. The mandible is composed of the body and the ramus and is located inferior to the maxilla. The body is a horizontally curved portion that creates the lower jawline.
Can a mandible fracture damage the inferior alveolar nerve?
Damage to the inferior alveolar nerve (IAN) as it courses through the body of the mandible is not uncommon with mandible fractures, and failure to note this preoperatively may be mistaken as a postoperative complication. We have noted mandibular angle fractures to have significantly higher rates of hypoesthesia.
Can a mandible fracture be a postoperative complication?
Sensation in the lower lip should also be tested and recorded. Damage to the inferior alveolar nerve (IAN) as it courses through the body of the mandible is not uncommon with mandible fractures, and failure to note this preoperatively may be mistaken as a postoperative complication.
When to consider extraction of a mandible fracture?
Exceedingly carious or damaged teeth, particularly at the fracture site, should prompt consideration of extraction.
Why is the atrophic mandible more vulnerable to fractures?
The atrophic mandible is more vulnerable to fracture because of decreased bone volume as a result of the resorption of alveolar bone due to tooth loss.58Fractures occur most commonly in the mandibular body where atrophy appears critical.