Korean J Otolaryngol-Head Neck Surg.
2000 Jan;43(1):64-68.
Midline Mandibulotomy: Functional Outcomes
- Affiliations
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- 1Department of Otolaryngology, College of Medicine, Hanyang University, Seoul, Korea.
Abstract
- BACKGROUND
Although the oncologic validity and perioperative complications of midline mandibulotomy are well described, little attention has been directed toward the functional problems that may be associated with its use. METHOD: A retrospective evaluation of 14 patients who had undergone this procedure were examined to assess postoperative sensation, temporomandibular joint function, dental occlusion, and cosmesis.
RESULTS
All patients had some sequelae but these were minor in nature. Nine of 14 patients had abnormal postoperative sensation, 8 of 14 patients had symptoms of TMJ abnormality, 11 of 14 patients were noted with a changed occlusion, but 71.4% patients had relatively good cosmetic outcomes.
CONCLUSION
Although most sequelae are negligible and further treatment is not required, patients who have undergone midline mandibulotomy can expect to experience one or more relatively minor long-term functional sequelae. To minimize this problem, meticulous surgical repair and aggressive postoperative physical therapy are required.
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