Definitive guiding flange prosthesis for management of hemimandibulectomy: A case report

Management of segmental mandibulectomy defects present a major challenge to the rehabilitation team. Mandibular discontinuity obliterates the equilibrium and mandibular function's symmetry, which leads to altered mandibular movements, facial disFigurement, incomprehensible swallowing, impaired speech and deviation of the remaining fragment towards the surgical side. While opening the mouth, this deviation intensifies, leading to the opening and closing in the angular pathway. A definitive mandibular guiding flange prosthesis on the resected side can be used productively to stabilize the occlusion and correct the deviation. A new prospective for treating segmental mandibulectomy patients by using only one device both for Physiotherapy and Mastication.