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swinging jaw #192556
06-09-2016 01:33 AM
06-09-2016 01:33 AM
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Mandy Offline OP
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Mandy  Offline OP
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Hello,im trying to find someone who has had the same surgery as me,12 months ago i had a segmental mandibular,removing jaw,they told me they would rebuild my jaw with tibia from my leg,when i woke up they had used muscle from my thigh to fill my surgery and was left with what they call a swinging jaw,i have googled and tried to find out why they preferred to do it that way,i have seen many posts of worst cancers then mine that have had their jaw removed,but all where given bone as replacement,,im starting to think maybe they weren't expecting me to live very long,,im going to ask at my next appointment but any help would be good,


nov 2013 ssc of buccal mucosa stage 2
jan 2014 neck dissection because of cancer in lymphnodes
feb 2014 6 weeks of radiation
march 2015 tumour buccal mucossa stage 4
june 2015 lower jaw removed
nov 2015tumour in left node on neck
jan 2016 radiation and chemo to commence
Nov 2015 left deck dissesction,1 posative node
Re: swinging jaw [Re: Mandy] #192557
06-09-2016 02:59 AM
06-09-2016 02:59 AM
Joined: Jun 2007
Posts: 10,419
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ChristineB Offline
Administrator, Director of Patient Support Services
ChristineB  Offline
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Not all mandibulectomies use the leg bone to replace the jaw bone. Many here (myself included) were given a replacement jaw of custom titanium replacement. Ive also seen mandibulectomies where a cadaver bone is used to replace the jawbone. Using muscle instead of the more common 3 options I mentioned is definitely not the norm. I have not seen muscle used. Im also curious as to why muscle was used instead of the other methods. Please share the info after your next appointment.

At least you have passed the 1 year mark so additional reconstructive surgeries hopefully will now be an option for you.

Best wishes!!!


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
Re: swinging jaw [Re: Mandy] #192558
06-09-2016 03:14 AM
06-09-2016 03:14 AM
Joined: Nov 2013
Posts: 31
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Mandy Offline OP
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Mandy  Offline OP
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thankyou,i never really questioned why theydone it that way until recently when ive been thinking about having implants and things,and i cant because there is nothing there,then i done some research and couldnt find nothing about swinging jaw,so ive become more curious


nov 2013 ssc of buccal mucosa stage 2
jan 2014 neck dissection because of cancer in lymphnodes
feb 2014 6 weeks of radiation
march 2015 tumour buccal mucossa stage 4
june 2015 lower jaw removed
nov 2015tumour in left node on neck
jan 2016 radiation and chemo to commence
Nov 2015 left deck dissesction,1 posative node
Re: swinging jaw [Re: Mandy] #192571
06-10-2016 02:31 PM
06-10-2016 02:31 PM
Joined: Mar 2008
Posts: 404
Melbourne, Australia
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Karen Rose Offline
"OCF Down Under"
Karen Rose  Offline
"OCF Down Under"
Platinum Member (300+ posts)
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Joined: Mar 2008
Posts: 404
Melbourne, Australia
They probably didn’t remove complete section of bone from top to bottom but scooped out bone and filled the hole with muscle. You still have natural mandible bone at the bottom of the hole where cancer was removed. And dental implants can’t be surgically inserted because the holes too deep and there’s not enough bone in that part of your jaw.


46 yrs:
Apr 07-SCC 80% entire tongue removed,T4N1M0
Neck/D,Jaw Split, Trache 2 ops,PEG 3.5yrs
30 x rad,6 x Cisplatin,
30 x HBO
Apr'08- flap Recon + ORN Mandibulectomy
(hip bone to reconstruct jaw)
Oct'08 1 Plate out-jaw
Mar'09 Debulk flap
Sep'09/Jan&Nov'10/Feb&Jun'11/Jan&Jul'12/Oct'13/April'14-More surgery
Re: swinging jaw [Re: Mandy] #192580
06-11-2016 02:36 PM
06-11-2016 02:36 PM
Joined: Nov 2013
Posts: 31
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Mandy Offline OP
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Mandy  Offline OP
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Joined: Nov 2013
Posts: 31
aus
that could be it karen,im going to ask at my next appointment and see what they sa


nov 2013 ssc of buccal mucosa stage 2
jan 2014 neck dissection because of cancer in lymphnodes
feb 2014 6 weeks of radiation
march 2015 tumour buccal mucossa stage 4
june 2015 lower jaw removed
nov 2015tumour in left node on neck
jan 2016 radiation and chemo to commence
Nov 2015 left deck dissesction,1 posative node
Re: swinging jaw [Re: Mandy] #199652
01-01-2020 12:29 PM
01-01-2020 12:29 PM
Joined: Jan 2007
Posts: 345
VA
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peace4uall Offline
Platinum Member (300+ posts)
peace4uall  Offline
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Posts: 345
VA
I had this surgery and they used the bone in my back. After one month, I got a very bad infection and blew
out the incision in my neck. Rushed to hospital and emergency surgery where they used my pec muscle to
place in my jaw. It has been 12 years and I still have a few dental issues but managing otherwise and just
glad to be alive. It is a little strange but better than the alternative.

Hang in there - you get used to using just one side of mouth.


Partial mandibulectomy and neck dissection 2/3/07. T2NOMO.
Had 14 hour operation which included reconstruction of jaw.
Reconstruction failed. Some radiation, no chemo.

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