Partial Mandibulectomy for Oral Cavity and Oropharyngeal Carcinoma

Korean Journal of Head & Neck Oncology 1994;10(2):163-170.
Published online November 30, 1994.

Eun Chang Choi;Won Pyo Hong

구강 및 구인두암의 수술에 있어서 하악골 부분절제술에 대한 고찰

최은창;홍원표

Abstract

Segmental mandibulectomy causes severe functional disability and cosmetic problem. Many methods of reconstruction have been used but none of these procedures provides the ideal solution. There has been increased interest in the possibility of preserving a portion of the mandible and still carrying out a adequate tumor resection. We experienced four cases of marginal with sagittal mandibulectomy in patients with floor of mouth. buccal. and soft palate carcinoma, and sagittal mandibulectomy in 8 patients with tonsillar carcinoma and a case of marginal mandibulectomy in tonsillar cancer patient. In all cases mandible facing the tumor were successfully resected and repair of the mandible. postoperative facial contour were satisfactory. We think. that these sagittal procedures are oncologically sound in its removal of tumor. biomechanically secure and maximize postoperative rehabilitation while maintaining the normal contour of the face.

Key Words: Marginal mandibulectomy, Sagittal mandibulectomy, Mandible preservation, Oral cavity cancer, Tonsil cancer