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Reconstruction in the Oral Cavity: When and How

  • Jim Higginson
  • Prav Praveen
  • Tim Martin
  • Sat Parmar
Chapter

Abstract

The oral cavity is a complex anatomical area, with vital physiological and social functions. The gold standard of treatment for cancer of the oral cavity is surgical resection, but without reconstruction, the loss of anatomical structures within the mouth leads to substantial reduction in the patient’s quality of life. The advent of microvascular free tissue transfer has greatly improved aesthetic and functional outcomes, and the use of osseous flaps with osseointegrated dental implants have resulted in dramatic improvements in outcomes for patients undergoing maxillectomy or mandibulectomy. Selecting the appropriate reconstruction requires careful planning, sensitive discussion with the patient, and active collaboration with other members of the multidisciplinary team, particularly restorative dentists and speech and language therapists. In this chapter, we advise on reconstruction of defects of the key subsites in the oral cavity, supplemented by examples—both good and bad—from our own experience.

Keywords

Oral cavity Reconstruction Free flaps Oral cancer Head and neck cancer Microvascular Dental implants 

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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Jim Higginson
    • 1
  • Prav Praveen
    • 1
  • Tim Martin
    • 1
  • Sat Parmar
    • 1
  1. 1.Department of Oral and Maxillofacial SurgeryQueen Elizabeth Hospital BirminghamBirminghamUK

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