Physiotherapy Rehabilitation after maxillary Alveolectomy in Poorly Diagnosed Squamous Cell Carcinoma patient

Abstract

Squamous cell carcinoma is the most widespread carcinoma of buccal mucosa in India. Tobacco is the strongest predictors for buccal carcinoma including alcohol. Buccal mucosa squamous cell carcinoma (BMSCC) appears to behave more rigorously than other subsides in the oral cavity because small anatomical barriers in the oral space do not essentially prevent tumour dissemination. Tumour management and disease control in the clinical nodes are the major priorities in the treatment of buccal mucosal carcinoma. Surgery followed by postoperative adjuvant radiation therapy is the preferred treatment in SCC of the buccal mucosa elsewhere and chemotherapy for favorable sufferers. The most common postoperative oral problems occurring are infection, pain, swallowing challenges, uncomfortable swallowing (odynophagia), distortion of voice (dysarthria), restricted movements at the operated site, chest pain and breathlessness, swelling of cheek, and limited mouth opening. In avoiding numerous challenges and treating clients to avert dysfunctions and regain proper actions physiotherapy serves an essential factor. Painful nonhealing ulcer over lower left back region of jaw (Pre- operative) 1 month back and now post -operative difficulty in mouth opening and restricted shoulder ROM at operated side, pain and breathlessness. Diagnosis was conformed of poorly differentiated squamous cell carcinoma (PDSCC) for left buccal mucosa which was confirmed by necessary investigations like biopsy, USG, MRI-CT Neck and other investigations like Liver Function Test, Blood Sugar and Urine, Radiograph (Pre-op PA Chest), ECG were done. Patient underwent a surgical treatment followed by rehabilitation. Physiotherapy management is found to be beneficial in achieving functional goals. The above study concludes that the definitive surgical approach and physiotherapy management is found to be effective in achieving functional goals.