臺灣博碩士論文加值系統

BACKGROUND: The optimal management after the resection of mandibular ameloblastoma has been very challenging to the surgeons. The aim of this study is to evaluate a functional, esthetic, and life quality outcomes of patients who had a segmental resection and mandible reconstruction with or without osseointegrated implants.
METHODS: Thirty-four patients who underwent a segmental resection of mandibular ameloblastoma and fibula flap reconstruction were reviewed. Twenty-two patients were included in the dental rehabilitated group, and 12 were the non-dental rehabilitated group. Functional outcomes and quality of life were assessed using Performance Status Scale, University of Washington quality-of-life (UW-QOL), 14-item Oral Health Impact Profile (OHIP-14). RESULTS: During the average follow-up period of 7.4 years no recurrence of the tumor was found. While both groups reported similar satisfaction in appearance, dental rehabilitated patients scored significantly higher in masticatory function (p<0.01). In the UW-QOL there were significant differences (p<0.05) regarding ‘chewing’, ‘activity’ and ‘anxiety’. Indeed, dental rehabilitated patients showed a better outcome in the OHIP-14 ‘physical disability’ and ‘psychological discomfort’
CONCLUSION: Vascularized bone graft reconstruction followed by osseointegrated implants showed as an ideal treatment modality for patients with ameloblastoma with better masticatory function, improved quality-of-life, and less psychological consequences.

Recommendation Letter from the Thesis Advisor............
Thesis/Dissertation Oral Defense Committee Certification...........................
Acknowledgments .....................iii
Abstract ....................... iv
Table of Contents....................v
List of Figures.................vi
List of Tables ............................. vii
Chapter 1 Introduction
1.1 Incidence, Pathogenesis, and Classification of Ameloblastoma .... - 1 - Chapter 1.2 Surgical treatment: ‘Conservative’ vs ‘Radical’............ - 11 -
Chapter 2 Experimental Study
Chapter 2.1: Introduction ................................................................... - 20 - Chapter 2.2: Methods......................................................................... - 22 - Chapter 2.3: Results ........................................................................... - 28 - Chapter 2.4: Discussion ..................................................................... - 33 - Chapter 2.5: Conclusion .................................................................... - 39 -
References................................................................................................. - 40 - Appendix................................................................................................... - 57 -

List of Figures
Fig. 1: ........................................................................................................ - 57 - Fig. 2.1:. .................................................................................................... - 58 - Fig. 2.2:. .................................................................................................... - 59 - Fig. 2.3:. .................................................................................................... - 60 - Fig. 2.4-2.5:............................................................................................... - 61 - Fig. 3.1: .................................................................................................... - 62 - Fig. 3.2:. .................................................................................................... - 63 - Fig. 3.3: ..................................................................................................... - 64 - Fig. 3.4-3.5:............................................................................................... - 65 -

List of Tables
Table 1: ..................................................................................................... - 66 - Table 2: .................................................................................................... - 67 - Table 3: .................................................................................................... - 68 -

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