TITLE:
Evaluation of the Future of the Patients Operating on a Switching Mandibuletomy in Madagascar
AUTHORS:
Simon Carnot Ndrianarivony, Fenosoa Vonimbola D’Assise Rakotoarimanana, Andrandraina Iavosoa Randrianantoandro, Rantonirina Henri Andriamanantena, John Bam Razafindrabe
KEYWORDS:
Chewing, Deglutition, Esthetics, Mandible, Speech
JOURNAL NAME:
Surgical Science,
Vol.12 No.3,
March
5,
2021
ABSTRACT: Introduction: Interruptive
mandibulectomy is often unavoidable despite the functional postoperative
handicaps that it generates. Plate reconstruction is the only possible
reconstruction in CHUDR Antananarivo. The objective of this study is to
evaluate the oral-facial functional status of patients who have undergone
interruptive mandibulectomy. Methods: It is a descriptive and transversal retrospective
study of 18 months from January 17, 2017 to July 17, 2018. We retained 30
patients who had undergone an interruptive mandibulectomy in the ward during
the study period. We studied the state of mastication, phonation, pain,
swallowing, labial continence, psychological state, deformity and satisfaction.
Patients were classified into 3 groups according to type of intervention A, B
and C. Results: Thirty patients were included. The type C intervention was the most
frequent, followed by types B and A. The postoperative follow-up period ranged
from 1 to 23 months. Chewing disorder has been encountered in more than half of
cases. The phonation disorder was found in groups B and C. We found 13 cases of
deformity. Patients became well integrated into society after surgery. Conclusion: Mandibulectomy creates aesthetic and functional prejudices for patients.
Despite these disorders, patients adapt well to their daily lives.