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August 1985

Combined Functional Oral Rehabilitation After Radical Cancer Surgery

Author Affiliations

From the Department of Otolaryngology and Communicative Sciences, Medical University of South Carolina, Charleston (Dr Wurster), and the Department of Otolaryngology—Head and Neck Surgery, Northwestern University Dental School and Prosthodontics, Northwestern University Medical School, Chicago (Drs Krepsi, Davis, and Sisson).

Arch Otolaryngol. 1985;111(8):530-533. doi:10.1001/archotol.1985.00800100078011

• Formerly, patients requiring extensive reconstruction of the oral cavity and oropharynx after radical, ablative oncologic surgery faced the unhappy prospect of lengthy, multistaged repair to enjoy acceptable cosmesis and a functional oral cavity. The advent of the pectoralis major myocutaneous flap has made soft-tissue, single-stage closure of large oral cavity and oropharyngeal defects a reality. Unfortunately and frequently, restoration of mucocutaneous continuity of the mouth does not result in acceptable function. Advances in the materials and design of prostheses suggested the combination of myocutaneous flap reconstruction and functional, prosthetic restoration as a method of returning the patient with head and neck cancer to a state of acceptable function and appearance soon after major resection.

(Arch Otolaryngol 1985;111:530-533)