Assessing stomatognathic performance after mandibulectomy according to the method of mandibular reconstruction

Abstract

The aim of this study was to investigate stomatognathic performance after mandibulectomy. Twenty-six subjects were classified into two groups: the mandibular continuity (MC) group were reconstructed and kept in MC, while the mandibular non-continuity (MNC) group lost MC. Stomatognathic performance was evaluated using the Oral Health Impact Profile in Japanese (OHIP-J), a colour-changing chewing gum, a gummy jelly, Sato's questionnaire, electromyography (EMG) of the masticatory muscles, and mandibular movement. The OHIP-J and modified Sato's questionnaire revealed that the physical and eating disability of the MNC group was significantly more severe than that of the MC group (P<0.05). The mean EMG activity of the anterior temporalis muscle in the relaxed state was significantly higher in the MNC group than in the MC group (P<0.05). The mean masticating/relaxing ratio of EMG activities for the masseter muscle was lower in the MNC group than in the MC group (P<0.05). The maximum mouth opening range of the MNC group was greater than that of the MC group (P<0.05). Accordingly, the MC group had good results for physical and eating ability. The MNC group suffered from muscle fatigue but had the advantage of a greater maximum mouth opening range.

Keywords: mandibular movement; mandibular reconstruction; mandibulectomy; masticatory muscles; masticatory performance; stomatognathic performance.