Mandibular Reconstruction: The Pathology And Its Impact On Over All Prognosis

Abstract

Introduction: Mandibular reconstruction plays a pivotal role in the multidisciplinary management of patients with mandibular defects caused by a range of pathologies. Objective: The main objective pf the study is to find the Mandibular [1]Reconstruction, its pathology and its impact on over all prognosis. Methodology: This descriptive cross-sectional study. Patients were selected from six referral units within the Oral and Maxillofacial Surgery (OMFS) department at KTDH. The study included 88 patients from various regions of the country who presented to Khartoum Teaching Dental Hospital (KTDH) with mandibular continuity defects resulting from tumor resection or other causes. Results: Complications were categorized into recipient site, donor site, and general complications. Four patients had documented assessments of soft tissue graft viability. One was assessed based on color, two used needle prick, and one used ultrasound. No surgeons employed Doppler ultrasound or other imaging techniques. The overall graft success rate was 69.3% (61 patients). Of these, 34 patients (48.4%) had successful reconstruction with primary soft tissue healing, while failure occurred in 18 cases (20.5%). Conclusion: It is concluded that mandibular reconstruction is an effective procedure for restoring function and aesthetics in patients with mandibular defects caused by various pathologies. The majority of patients experience successful graft healing, minimal complications, and high satisfaction rates.