Restoration of oral cavity function by combination of reconstruction techniques with COMPUTER-AIDED DESIGN/COMPUTER-AIDED manufacture planning methods

Blesniuk, Z. V.; Kushta, A. A.

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Кафедра хірургічної стоматології та щелепно-лицевої хірургії
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Наукові публікації каф. хірургічної стоматології
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dc.contributor.author	Blesniuk, Z. V.
dc.contributor.author	Kushta, A. A.
dc.date.accessioned	2025-03-24T08:30:38Z
dc.date.available	2025-03-24T08:30:38Z
dc.date.issued	2023
dc.identifier.citation	Blesniuk Z. V. Restoration of oral cavity function by combination of reconstruction techniques with COMPUTER-AIDED DESIGN/COMPUTER-AIDED manufacture planning methods / Z. V. Blesniuk, A. A. Kushta // Arch Balk Med Union. – 2023. – Vol. 58. – № 1. – Р. 65-73.	uk_UA
dc.identifier.issn	DOI: 10.31688/ABMU.2023.58.1.08
dc.identifier.uri	https://dspace.vnmu.edu.ua/123456789/8880
dc.description.sponsorship	Introduction. Locally advanced cancer of oral mucosa and oropharynx extending to the mandible is an in dication for its segmental resection. After mandible resection, especially after combined and extended radical resection of the floor of the mouth including the mandible, restoration of form and function is of primary importance for patients’ rehabilitation. Case presentation. A 64-year-old man was diagnosed with cancer of the anterior section of the mouth floor, with metastases to neck lymph nodes, stage IV grade II (T4 N1 M0 ). Computed tomography scan identified lytic destruction of the alveolar process in the range of 32-33 teeth. The pathohistological examination diagnosed a G2 squamous cell carcinoma. A lower temporary tracheostomy was performed, with neck dissection on both sides, resection of the floor of the oral cavity with partial tongue resection, segmental mandible resection, reconstruction of the mandible with a non-vascularized iliac crest, reconstruction of the floor of the oral cavity and tongue with the radial forearm free flap. A resection template was used for segmental resection of the mandible. Long-term postoperative regional analgesia was used. During surgical treatment, it was necessary to choose the type of reconstruction to restore the shape, volume and functionality of the organ. Conclusions. This case demonstrates good functional (restoration and preservation of chewing and swallowing) and aesthetic results when using free bone and fasciocutaneous free flaps for primary mandibular reconstruction. The use of computer-aided design/ computer-aided manufacture technology improves the quality of reconstruction and minimizes the likelihood of complications.	uk_UA
dc.language.iso	en	uk_UA
dc.publisher	Archives of the Balkan Medical Union	uk_UA
dc.subject	radial forearm free flap	uk_UA
dc.subject	cancer	uk_UA
dc.subject	swallowing	uk_UA
dc.subject	chewing	uk_UA
dc.subject	anesthesia	uk_UA
dc.title	Restoration of oral cavity function by combination of reconstruction techniques with COMPUTER-AIDED DESIGN/COMPUTER-AIDED manufacture planning methods	uk_UA
dc.type	Article	uk_UA