Impacto de la reconstrucción microquirúrgica de la mandíbula y/o el maxilar con implantes dentales inmediatos versus diferidos en pacientes oncológicos: Una revisión sistemática

Contexto La reconstrucción maxilomandibular con implantes dentales tradicionalmente ha sido realizada en varios tiempos quirúrgicos, recientemente ha venido evolucionando con el enfoque “jaw in a day” que consiste en realizar todo en un solo tiempo quirúrgico. Aunque ambos métodos presentan ventajas...

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Fecha de publicación:: 2024

Institución:: Universidad del Rosario

Repositorio:: Repositorio EdocUR - U. Rosario

Idioma:: spa

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network_acronym_str	EDOCUR2
network_name_str	Repositorio EdocUR - U. Rosario
repository_id_str
dc.title.none.fl_str_mv	Impacto de la reconstrucción microquirúrgica de la mandíbula y/o el maxilar con implantes dentales inmediatos versus diferidos en pacientes oncológicos: Una revisión sistemática
dc.title.TranslatedTitle.none.fl_str_mv	Impact of Microsurgical Reconstruction of the Mandible and/or Maxilla with Immediate Versus Deferred Dental Implants in Oncology Patients: A Systematic Review
title	Impacto de la reconstrucción microquirúrgica de la mandíbula y/o el maxilar con implantes dentales inmediatos versus diferidos en pacientes oncológicos: Una revisión sistemática
spellingShingle	Impacto de la reconstrucción microquirúrgica de la mandíbula y/o el maxilar con implantes dentales inmediatos versus diferidos en pacientes oncológicos: Una revisión sistemática Calidad de vida Implantes Dentales Colgajos Tisulares Libres Rehabilitación Funcionalidad Microsurgical free flap Dental implants Quality of life Rehabilitation Functionality
title_short	Impacto de la reconstrucción microquirúrgica de la mandíbula y/o el maxilar con implantes dentales inmediatos versus diferidos en pacientes oncológicos: Una revisión sistemática
title_full	Impacto de la reconstrucción microquirúrgica de la mandíbula y/o el maxilar con implantes dentales inmediatos versus diferidos en pacientes oncológicos: Una revisión sistemática
title_fullStr	Impacto de la reconstrucción microquirúrgica de la mandíbula y/o el maxilar con implantes dentales inmediatos versus diferidos en pacientes oncológicos: Una revisión sistemática
title_full_unstemmed	Impacto de la reconstrucción microquirúrgica de la mandíbula y/o el maxilar con implantes dentales inmediatos versus diferidos en pacientes oncológicos: Una revisión sistemática
title_sort	Impacto de la reconstrucción microquirúrgica de la mandíbula y/o el maxilar con implantes dentales inmediatos versus diferidos en pacientes oncológicos: Una revisión sistemática
dc.contributor.advisor.none.fl_str_mv	Bareño Silva, José Mallarino Restrepo, Gonzalo
dc.subject.none.fl_str_mv	Calidad de vida Implantes Dentales Colgajos Tisulares Libres Rehabilitación Funcionalidad
topic	Calidad de vida Implantes Dentales Colgajos Tisulares Libres Rehabilitación Funcionalidad Microsurgical free flap Dental implants Quality of life Rehabilitation Functionality
dc.subject.keyword.none.fl_str_mv	Microsurgical free flap Dental implants Quality of life Rehabilitation Functionality
description	Contexto La reconstrucción maxilomandibular con implantes dentales tradicionalmente ha sido realizada en varios tiempos quirúrgicos, recientemente ha venido evolucionando con el enfoque “jaw in a day” que consiste en realizar todo en un solo tiempo quirúrgico. Aunque ambos métodos presentan ventajas y desventajas, aún no hay claridad acerca de qué enfoque es mejor en el contexto oncológico. Objetivos Analizar el impacto de los implantes inmediatos frente a los diferidos en términos de rehabilitación oral, calidad de vida y supervivencia de los implantes en pacientes con cáncer de cabeza y cuello. Métodos de búsqueda La búsqueda sistemática de la literatura se realizó en cada una de las siguientes bases de datos bibliográficas: Scopus, Web of Science, OVID, Pubmed y Google Scholar. Criterios de elegibilidad Estudios clínicos que evalúen rehabilitación oral, calidad de vida y/o la tasa de supervivencia de implantes dentales inmediatos o diferidos en pacientes adultos con cáncer de cabeza y cuello que fueron reconstruidos con colgajos libres. Desenlaces Se evaluaron la rehabilitación oral, la calidad de vida y la tasa de supervivencia de los implantes en ambos enfoques de implantación dental, usando escalas validadas para calidad de vida y datos cuantitativos para los otros desenlaces. Riesgo de sesgos Se utilizó la herramienta ROBINS-E para estudios analíticos y JBI para estudios descriptivos. Síntesis de resultados Esta revisión sistemática (prospero CRD42024595079) incluyó 37 estudios con una muestra de 1,956 pacientes. Los implantes inmediatos lograron mayores tasas de rehabilitación dental completa (76.8%) comparados con los diferidos (46.7%) y presentaron tasas de supervivencia altas (90.7%-100%), incluso en pacientes irradiados. En cambio, los implantes diferidos mostraron tasas más variables (53%-100%). Los implantes inmediatos también ofrecieron mejores resultados en funcionalidad, satisfacción y calidad de vida, mientras que los diferidos generaron mejoras menos pronunciadas y más demoradas. Conclusión La reconstrucción con implantes inmediatos demuestra ser una estrategia superior, con tasas de supervivencia de hasta el 100%, incluso en pacientes irradiados y una rehabilitación funcional más rápida, impactando positivamente la calidad de vida del paciente. Sin embargo, los resultados deben ser interpretados con precaución dada las limitaciones de los estudios incluidos.
publishDate	2024
dc.date.accessioned.none.fl_str_mv	2024-12-09T12:21:47Z
dc.date.available.none.fl_str_mv	2024-12-09T12:21:47Z
dc.date.created.none.fl_str_mv	2024-11-28
dc.type.none.fl_str_mv	bachelorThesis
dc.type.coar.fl_str_mv	http://purl.org/coar/resource_type/c_7a1f
dc.type.spa.none.fl_str_mv	Trabajo de grado
dc.identifier.doi.none.fl_str_mv	https://doi.org/10.48713/10336_44477
dc.identifier.uri.none.fl_str_mv	https://repository.urosario.edu.co/handle/10336/44477
url	https://doi.org/10.48713/10336_44477 https://repository.urosario.edu.co/handle/10336/44477
dc.language.iso.none.fl_str_mv	spa
language	spa
dc.rights.*.fl_str_mv	Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.coar.fl_str_mv	http://purl.org/coar/access_right/c_abf2
dc.rights.acceso.none.fl_str_mv	Abierto (Texto Completo)
dc.rights.uri.*.fl_str_mv	http://creativecommons.org/licenses/by-nc-nd/4.0/
rights_invalid_str_mv	Attribution-NonCommercial-NoDerivatives 4.0 International Abierto (Texto Completo) http://creativecommons.org/licenses/by-nc-nd/4.0/ http://purl.org/coar/access_right/c_abf2
dc.format.extent.none.fl_str_mv	63 pp
dc.format.mimetype.none.fl_str_mv	application/pdf
dc.publisher.none.fl_str_mv	Universidad del Rosario Universidad CES. Facultad de Medicina
dc.publisher.department.none.fl_str_mv	Escuela de Medicina y Ciencias de la Salud
dc.publisher.program.none.fl_str_mv	Especialización en Epidemiología
publisher.none.fl_str_mv	Universidad del Rosario Universidad CES. Facultad de Medicina
institution	Universidad del Rosario
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Interforaminal implant placement in oral cancer patients: during ablative surgery or delayed? A 5-year retrospective study. Int J Oral Maxillofac Surg 2013;42:651–5. https://doi.org/10.1016/j.ijom.2012.09.013. Veld M in ‘t, Schulten EA, Leusink FK. Immediate dental implant placement and restoration in the edentulous mandible in head and neck cancer patients: a systematic review and meta-analysis. Curr Opin Otolaryngol Head Neck Surg 2020;29:126. https://doi.org/10.1097/MOO.0000000000000685. Azher S, McGrath R, Mohammadi Kamalabadi Y, Tsakos G, Sim F, Singh A. Impact of rehabilitation with dental implants on the quality of life of patients undergoing maxillofacial reconstruction: a systematic review. Qual Life Res. 2024. https://doi.org/10.1007/s11136-024-03795-w Pierre CS, Dassonville O, Chamorey E, Poissonnet G, Riss JC, Ettaiche M, et al. Long-term functional outcomes and quality of life after oncologic surgery and microvascular reconstruction in patients with oral or oropharyngeal cancer. Acta Otolaryngol. 2014, 134, 1086–1093. Doi: 10.3109/00016489.2014.913809. Schliephake H, Jamil, MU. Prospective evaluation of quality of life after oncologic surgery for oral cancer. Int. J. Oral Maxillofac. Surg. 2002, 31, 427–433. DOI: 10.1054/ijom.2001.0194 Bozec, A.; Poissonnet, G.; Chamorey, E.; Casanova, C.; Vallicioni, J.; Demard, F.; Mahdyoun, P.; Peyrade, F.; Follana, P.; Bensadoun, R.J.; et al. Free-flap head and neck reconstruction and quality of life: A 2-year prospective study. Laryngoscope 2008, 118, 874–880. DOI: 10.1097/MLG.0b013e3181644abd Rogers, S.N.; Lowe, D.; Brown, J.S.; Vaughan, E.D. A comparison between the University of Washington Head and Neck Disease-Specific Measure and the Medical Short Form 36, EORTC QOQ-C33 and EORTC Head and Neck 35. Oral Oncol. 1998, 34, 361–372. DOI: 10.1016/s1368-8375(98)00031-1 Zhang L, Ding Q, Liu C, Sun Y, Xie Q, Zhou Y. Survival, function, and complications of oral implants placed in bone flaps in jaw rehabilitation: a systematic review. Int J Prosthodont. 2016 Mar-Apr;29(2):115-25. doi: 10.11607/ijp.4402. Atallah S, Bozec A, Ransy P, Davrou J, Longis J, Humbert M, et al. Functional evaluation of mandibular reconstruction with bone free flap. A GETTEC study. Eur Ann Otorhinolaryngol Head Neck Dis 2021;138:82–8. DOI https://doi.org/10.1016/j.anorl.2020.08.005 Olden A, Wamalwa A, Jonsson E, Thor A, Lorenzo A. Factors Affecting Complete Oral Rehabilitation in Patients With Vascularized Free Fibula Flap Mandibular Reconstruction: A 10-Year Retrospective Study. J Craniofac Surg 2023;34:1635–9. https://doi.org/10.1097/SCS.0000000000009543.
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spelling	Bareño Silva, José7c3e2a4d-af6b-4a05-bf76-e786f91ac575-1Mallarino Restrepo, Gonzalo78f064ff-786e-4670-8a2b-c1ef78180a4b-1Rojas Gómez, María CamilaSolano Sánchez, Ángela MaríaBenítez Román, Angie CarolinaAmado Perez, SergioEspecialista en Epidemiología (en Convenio con el CES)Especializaciónaa85113b-ae16-4476-b302-bf34f0b13766-190b4af43-209c-4462-a699-dadc416834f6-1c86c1e3f-985e-4d88-b2d4-2ba741eea5ff-1aa330b46-3bdd-4eec-9819-d0f6b46cc20e-12024-12-09T12:21:47Z2024-12-09T12:21:47Z2024-11-28Contexto La reconstrucción maxilomandibular con implantes dentales tradicionalmente ha sido realizada en varios tiempos quirúrgicos, recientemente ha venido evolucionando con el enfoque “jaw in a day” que consiste en realizar todo en un solo tiempo quirúrgico. Aunque ambos métodos presentan ventajas y desventajas, aún no hay claridad acerca de qué enfoque es mejor en el contexto oncológico. Objetivos Analizar el impacto de los implantes inmediatos frente a los diferidos en términos de rehabilitación oral, calidad de vida y supervivencia de los implantes en pacientes con cáncer de cabeza y cuello. Métodos de búsqueda La búsqueda sistemática de la literatura se realizó en cada una de las siguientes bases de datos bibliográficas: Scopus, Web of Science, OVID, Pubmed y Google Scholar. Criterios de elegibilidad Estudios clínicos que evalúen rehabilitación oral, calidad de vida y/o la tasa de supervivencia de implantes dentales inmediatos o diferidos en pacientes adultos con cáncer de cabeza y cuello que fueron reconstruidos con colgajos libres. Desenlaces Se evaluaron la rehabilitación oral, la calidad de vida y la tasa de supervivencia de los implantes en ambos enfoques de implantación dental, usando escalas validadas para calidad de vida y datos cuantitativos para los otros desenlaces. Riesgo de sesgos Se utilizó la herramienta ROBINS-E para estudios analíticos y JBI para estudios descriptivos. Síntesis de resultados Esta revisión sistemática (prospero CRD42024595079) incluyó 37 estudios con una muestra de 1,956 pacientes. Los implantes inmediatos lograron mayores tasas de rehabilitación dental completa (76.8%) comparados con los diferidos (46.7%) y presentaron tasas de supervivencia altas (90.7%-100%), incluso en pacientes irradiados. En cambio, los implantes diferidos mostraron tasas más variables (53%-100%). Los implantes inmediatos también ofrecieron mejores resultados en funcionalidad, satisfacción y calidad de vida, mientras que los diferidos generaron mejoras menos pronunciadas y más demoradas. Conclusión La reconstrucción con implantes inmediatos demuestra ser una estrategia superior, con tasas de supervivencia de hasta el 100%, incluso en pacientes irradiados y una rehabilitación funcional más rápida, impactando positivamente la calidad de vida del paciente. Sin embargo, los resultados deben ser interpretados con precaución dada las limitaciones de los estudios incluidos.Context Maxillomandibular reconstruction with dental implants has traditionally been performed in multiple surgical stages. Recently, it has evolved with the “Jaw in a day” approach, which involves completing the entire procedure in a single surgical session. While both methods have their advantages and disadvantages, there is still no clear consensus on which approach is better in the oncological context. Objectives To analyze the impact on immediate versus delayed implants in terms of oral rehabilitation, quality of life and implant survival in patients with head and neck cancer. Search methods A systematic literature search was conducted in the following bibliographic databases: Scopus, Web of Science, OVID, Pubmed and Google Scholar. Eligibility Criteria Clinical studies evaluating oral rehabilitation, quality of life, and/or implant survival rates of immediate or delayed dental implants in adult patients with head and neck cancer who underwent microsurgical reconstruction with free flaps. Outcomes Quality of life, oral rehabilitation and implant survival rates were evaluated in immediate and delayed approaches, using validated quality of life scales and quantitative data for other outcomes. Risk of bias The ROBINS-E tool was used for analytical studies and the JBI tool was used for descriptive studies. Results synthesis This systematic review (Prospero CRD42024595079) included 37 studies with a total sample of 1956 patients. Immediate implants achieved higher rates of complete dental rehabilitation (76.8%) compared to delayed implants (46.7%) and demonstrated high survival rates (90.7%-100%), even in irradiated patients. Immediate implants also provided better results in terms of functionality and quality of life, while delayed implants resulted in less pronounced and more delayed improvements. Conclusion Immediate implant reconstruction has been shown to be a superior approach, with survival rates of up to 100%, even in irradiated patients, and faster functional rehabilitation, positively impacting the patient's quality of life. However, the results should be interpreted with caution due to the methodological limitations of the included studies.63 ppapplication/pdfhttps://doi.org/10.48713/10336_44477https://repository.urosario.edu.co/handle/10336/44477spaUniversidad del RosarioUniversidad CES. Facultad de MedicinaEscuela de Medicina y Ciencias de la SaludEspecialización en EpidemiologíaAttribution-NonCommercial-NoDerivatives 4.0 InternationalAbierto (Texto Completo)http://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2Bekeny JR, Makki F, Seikaly HR. Reconstruction of the mandible. In: Flint PW, Francis HW, Haughey BH, Lesperance MM, Lund VJ, Robbing KT, Thomas JR, editors. Cummings Otolaryngology: Head and Neck Surgery. Philadelphia: Elsevier; 2021. p. 1316-30.Okay DJ, Buchbinder D. Implant rehabilitation and maxillomandibular free flap reconstruction. In: Tiwana PS, Kademani D, editors. Atlas of Oral and Maxillofacial Surgery. Philadelphia: Elsevier; 2023. p. 273-89.Sukato D, Hammer D, Wang W, Shokri T, Williams F, Ducic Y. Experience with “Jaw in a Day” technique. J Craniofac Surg. 2020;31(5):1212-7. Doi: 10.1097/scs.0000000000006369Allen RJ, Shenaq DS, Rosen EB, Patel SG, Ganly I, Boyle JO, et al. Immediate dental implantation in oncologic jaw reconstruction: workflow optimization to decrease time to full dental rehabilitation. Plast Reconstr Surg Glob Open. 2019;7(1):e2100. doi: 10.1097/GOX.0000000000002100.IARC Publications. GLOBOCAN 2012: Estimated cancer incidence, mortality and prevalence worldwide in 2012 v1.0. [Internet]. Lyon: International Agency for Research on Cancer; 2012 [citado el 22 nov 2024]. Disponible en: http://publications.iarc.fr/Databases/Iarc-Cancerbases/Globocan-2012-Estimated-Cancer-Incidence-Mortality-And-Prevalence-Worldwide-In-2012-V1-0-201.Patel A, Harrison P, Cheng A, Bray B, Bell RB. Fibular reconstruction of the maxilla and mandible with immediate implant-supported prosthetic rehabilitation: jaw in a day. Oral Maxillofac Surg Clin North Am. 2019;31(3):369-86. doi: 10.1016/j.coms.2019.03.002.Allen RJ, Nelson JA, Polano TO, Ahamsunder MG, Ganly I, Boyle J, et al. Short-term outcomes following virtual surgery-assisted immediate dental implant placement in free fibula flaps for oncologic mandibular reconstruction. Plast Reconstr Surg. 2020;146(6):768e-76e. doi: 10.1097/PRS.0000000000007352.Woods B, Schenber M, Chandu A. A comparison of immediate and delayed dental implant placement in head and neck surgery patients. J Oral Maxillofac Surg. 2019;77(6):1156-64. doi: 10.1016/j.joms.2019.02.007.Zavattero E, Ramieri G, Agrò G, Fasolis M, Garzino-Demo P, Borbon C. Implant dental rehabilitation of fibula-free flap reconstructed jaws. J Craniofac Surg. 2021;32(2):e456-60. doi: 10.1097/SCS.0000000000006874Alberga JM, Vosselman N, Korfage A, Delli K, Witjes MJ, Raghoebar GM, et al. What is the optimal timing for implant placement in oral cancer patients? A scoping literature review. Oral Dis. 2021;27(1):94-110. doi: 10.1111/odi.13312.Speed O, Rickels K, Farsi S, Merril T, Gardner JR, King D, et al. Virtual surgical planning for mandibular reconstruction in an abbreviated admission pathway. Am J Otolaryngol. 2024;45:104141. doi: 10.1016/j.amjoto.2023.104141.Tran KL, Yang DH, Wang E, Ham JI, Lee S, Park YJ. Dental implantability of mandibular reconstructions: comparing freehand surgery with virtual surgical planning. Oral Oncol. 2023;140:106396. doi: 10.1016/j.oraloncology.2023.106396.Mazzola F, Smithers F, Cheng K, Huang Y, Lopez R, Anderson C. Time and cost-analysis of virtual surgical planning for head and neck reconstruction: a matched pair analysis. Oral Oncol. 2020;100:104491. doi: 10.1016/j.oraloncology.2019.104491.Anolik RA, Nelson JA, Rosen EB, Disa J, Matros E, Allen RJ. Immediate dental implant placement in the oncologic setting: a conceptual framework. Plast Reconstr Surg Glob Open. 2021;11(9):e3671. doi: 10.1097/GOX.0000000000003671.Panchal H, Shamsunder MG, Petrovic I, Rosen EB, Allen RJ, Hernandez M, et al. 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Impacto de la reconstrucción microquirúrgica de la mandíbula y/o el maxilar con implantes dentales inmediatos versus diferidos en pacientes oncológicos: Una revisión sistemática

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