Implant-assisted prosthetic rehabilitation in head and neck cancer cases; Challenges and Management; A scoping review.

Article type
Authors
Ramanarayanan V1, V N K
1Amrita School Of Dentistry, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
Abstract
Background: Oral cancer is the sixth most prevalent cancer type worldwide. The fibula-free flap reconstruction in head and neck cancer cases is a widely accepted technique. Implant-supported prosthetic rehabilitation in such cases is increasingly utilized for prosthetic rehabilitation in oral cancer rehabilitation. The challenges and established remedial methods are important to understand for better treatment planning and improving the quality of life.

Objective: This scoping review aims to ascertain the volume and nature of evidence concerning the difficulties and corrective measures in the prosthetic rehabilitation of fibula-reconstructed head and neck cancer cases. The findings will aid in improving the prosthetic treatment care for the affected population.

Methods: We used the JBI methodology of scoping reviews to conduct the review. A Preliminary search was conducted in search engines such as Google Scholar, Cochrane, PubMed, and CINHAL. After an initial search, the MESH terms were finalized, and a final search strategy was formulated. Articles published between 2002 and 2023 were included in the search. The screening and data collection were done with the aid of Covidence, where two independent reviewers screened the articles for title and abstract, and a third reviewer was involved in resolving the conflicts. Full-text screening and Data collection were conducted individually, and data extraction results were compiled in tabular format. The data extracted includes specific details about the participants, concept, population, study methods, challenges encountered during prosthetic rehabilitation, and their management. Inductive thematic analysis and descriptive statistics were applied suitably.

Results: Implant-supported prosthetic rehabilitation is the most promising treatment modality for head and neck cancer rehabilitation in the current scenario. Challenges are coded into themes, and solutions are described qualitatively. Challenges can be categorized based on emergent themes to propose a classification.

Relevance: The results of this review will help identify the challenges in functional prosthetic rehabilitation and its management to aid in better prosthetic care for oral cancer cases. A narrative summary of the existing literature can identify the knowledge gap and can be utilized to improve future treatment planning and policymaking.