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March 1990

Functional Results Following Mandibular Reconstruction

Arch Otolaryngol Head Neck Surg. 1990;116(3):257. doi:10.1001/archotol.1990.01870030021003

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At the Triological Society meeting in San Francisco, Calif, Arnold Komisar, MD, New York, NY, presented his Triologic thesis for which he was awarded the Mosher Award. Review of the literature revealed relatively few articles describing the functional result of mandibular reconstruction. Dr Komisar defined five parameters for his study: deglutition, mastication, cosmesis, diet tolerated, and success of prosthetic rehabilitation. He compared eight patients who had undergone mandibular reconstruction with eight similar patients who had composite resection without rebuilding the mandibular arch; all patients were followed up for at least 1 year. Dr Komisar's findings indicated that patients who had undergone reconstruction had more problems, presumably due to increased scarring and decreased lateral-medial movement necessary for chewing. These patients also had more difficulty swallowing and most were on a puree diet. Although patients who underwent immediate reconstruction initially looked better than their counterparts, their appearance often deteriorated with time. Cosmetic

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