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Plastic & Reconstructive Surgery

Mandibular Defect (Post-Tumor Resection)

ICD-10 Code
M89.8X8

Advanced Plastic & Reconstructive Criteria for Mandibular Defect (Post-Tumor Resection).

Clinical Presentation & Protocol

Patient Usually Complains Of

Patient presents for evaluation of mandibular defect status-post resection of [Tumor Type/Location]. Primary concerns include [e.g., facial asymmetry, malocclusion, masticatory dysfunction, speech impairment, or drooling]. History of adjuvant therapy includes [Radiation/Chemotherapy]. Patient reports [stable/progressive] symptoms since surgical intervention.

Clinical Examination Findings

Extraoral: Significant facial asymmetry noted with [left/right] mandibular deviation. Palpation reveals [scar tissue/fibrosis/hardware prominence]. Intraoral: Segmental mandibular defect present at [location: e.g., symphysis, body, ramus]. Mucosal integrity is [intact/dehiscent]. Assessment of remaining dentition shows [malocclusion/mobility]. Tongue mobility and range of motion are [restricted/normal].

Treatment Protocol

Plan: 1. Surgical reconstruction via [e.g., Free Fibula Flap/Bone Graft/Titanium Plate]. 2. Management of soft tissue coverage. 3. Post-operative physical therapy for jaw mobilization. 4. Referral to Prosthodontics for dental rehabilitation. 5. Pain management and nutritional support.

Detailed clinical guide coming soon.