Assessment of chewing and swallowing in post mandibular resection patients with no bony reconstruction – A cross sectional study

Q1 Medicine

Journal of oral biology and craniofacial research Pub Date : 2025-01-01 DOI:10.1016/j.jobcr.2024.12.014

Irfana Sithara Cholayil, Reena Rachel John, Narendran Achuthan

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Abstract

Introduction

The intricate process of chewing and swallowing is compromised following mandibular resection. An evaluation of chewing and swallowing is crucial to comprehend the quality of life following surgery in cases when bone repair was not performed. The purpose of this study is to evaluate chewing and swallowing in mandibulectomy patients without bony reconstruction.

Material and method

This study involved ten patients, including four with H defects, three with L defects, and three with LC defects, after a one-year postop period. Using Robbin's penetration aspiration scale, video fluoroscopy was used to evaluate swallowing. Using a functional oral intake scale, chewing was assessed. Fischer's exact test was used for statistical analysis.

Results

Robbin's penetration aspiration scale score of 1 was noted in all 10 patients. According to FOIS, 50 % of patients with H defect scored 4, and 66.7 % of those with L defect scored 6. The results were not significant when the scores were correlated with the type of defect.

Conclusion

Mandibular surgical defects which were not reconstructed with bone were shown to affect the quality of life in our study. Chewing efficiency was poorest in patients with H defect. Swallowing efficiency was not affected adversely in this group of patients.

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来源期刊

Journal of oral biology and craniofacial research Medicine-Otorhinolaryngology

CiteScore

4.90

自引率

0.00%

发文量

133

审稿时长

167 days

期刊介绍： Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.