Evaluation of the Future of the Patients Operating on a Switching Mandibuletomy in Madagascar

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.