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Joined: May 2005
Posts: 24
Maria G Offline OP
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Joined: May 2005
Posts: 24
Hi All
Is there any other surgery besides a fibula free flap for a new mandible? I need an entire lower jaw. I am trying to research new procedures and have not been successful. My MD called it a Morbid Elective surgery with more risks than its worth. So here I sit waiting for my jaw to fracture. Im 22 years CANCER FREE but the effects from the radiation are horrific. (Constant jaw abscesses and a facial fistula)
If anyone has any info that could direct me, it would be greatly appreciated!
Maria


Maria 33 when diagnosed with SCC, partial glossectomy with skin graph from thigh,rt side nodes removed,ten nodes positive, PEG, 30 RAD tx, 1998. Scans clean.30 HBO tx-Massive dental work 07-08, ORN present 2009.
Joined: Jun 2007
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Patient Advocate (old timer, 2000 posts)

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Maria, Ive had this done myself and know how hard it is when your mouth doesnt work how you think it should. Its a huge surgery filled with so many things that could possibly go wrong. There are several versions of doing the mandibulectomy but this is such a major surgery with so many individual differences its not easy to know what would be the best choice. Some do the fibula, some others will opt to use a cadaver jawbone, some do a titanium plate designed for each individual. The best thing I can suggest is to seek out some of the top surgeons for second and if necessary third opinions. Long time survivors sometimes have late effects show up where they need different treatment to address their long term survivors issues. Since a mandibulectomy is so complex it really is vitally important you find and use someone highly skilled. Those kinds of specialists could be located a bit further than you would like to travel but in the long run distance isnt a huge part of getting the top doctors who you know will do everything the correct way so the result is a once and done surgery instead of having problematic complications with a lessor skilled doc.

I wish you the very best with this!!! Hope it all works out like you want it to.


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
Joined: Mar 2021
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Joined: Mar 2021
Posts: 2
Hi Maria, My husband had a scapula free flap performed in August 2020 for mandible reconstruction. The incision was surprisingly from his axilla to his belt line but healed well and immediate exercises helped with resuming full function of his arm and shoulder. Hope that helps.


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