抄録
A 33-year-old female with odontogenic myxoma in the left-side mandible was referred by a head and neck surgeon for preoperative examination and postoperative mandibular prosthesis preparation. A multidisciplinary approach was provided: tumor resection by an otolaryngologist, free peroneal flap reconstruction by a plastic surgeon and oral surgeon, and prosthesis for defective jaw by a dentist. A three-dimensional skull model and oral appliance for intermaxillary fixation were used in surgical reconstruction to restore the maxillomandibular relationship and intercuspal position. A prosthesis for defective jaw was fabricated after the postoperative wound healing period and adjusted to gain stability. The improvement of masticatory ability on the affected side was relatively low one year after delivery of the prosthesis. However, occlusal force was obtained with the prosthesis, and oral health-related QOL was greatly improved six months after delivery of the prosthesis. The maxillomandibular relationship was not changed seven years and three months after the operation. The multidisciplinary team collaborated closely and contributed to improving the patient’s QOL, and the prosthesis for defective jaw improved oral functions.
