Long-Term Result of Patients With or Without Osseointegrated Implants after Resection of Mandibular Ameloblastoma and Reconstruction with Vascularized Bone Graft: Functional Assessment and Quality of Life

• Main Author: Marco Pappalardo
• Other Authors: F. C. Wei
• Format: Others
• Language: en_US
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/mtvnbp

碩士 === 長庚大學 === 顯微手術國際碩士學位學程 === 106 === BACKGROUND: The optimal management after the resection of mandibular ameloblastoma has been very challenging to the surgeons. The aim of this study is to evaluate a functional, esthetic, and life quality outcomes of patients who had a segmental resection and mandible reconstruction with or without osseointegrated implants. METHODS: Thirty-four patients who underwent a segmental resection of mandibular ameloblastoma and fibula flap reconstruction were reviewed. Twenty-two patients were included in the dental rehabilitated group, and 12 were the non-dental rehabilitated group. Functional outcomes and quality of life were assessed using Performance Status Scale, University of Washington quality-of-life (UW-QOL), 14-item Oral Health Impact Profile (OHIP-14). RESULTS: During the average follow-up period of 7.4 years no recurrence of the tumor was found. While both groups reported similar satisfaction in appearance, dental rehabilitated patients scored significantly higher in masticatory function (p<0.01). In the UW-QOL there were significant differences (p<0.05) regarding ‘chewing’, ‘activity’ and ‘anxiety’. Indeed, dental rehabilitated patients showed a better outcome in the OHIP-14 ‘physical disability’ and ‘psychological discomfort’ CONCLUSION: Vascularized bone graft reconstruction followed by osseointegrated implants showed as an ideal treatment modality for patients with ameloblastoma with better masticatory function, improved quality-of-life, and less psychological consequences.