Anterior mandibulotomy for oral and oropharyngeal tumours
Identifieur interne : 00AE43 ( Main/Exploration ); précédent : 00AE42; suivant : 00AE44Anterior mandibulotomy for oral and oropharyngeal tumours
Auteurs : Ajit Man Singh [Inde] ; Sudhir Bahadur [Inde] ; D. A. Tandon [Inde] ; R. M. Pande [Inde]Source :
- The Journal of Laryngology & Otology [ 0022-2151 ] ; 1993-04.
Abstract
In the last six years, anterior mandibulotomy was used to approach tumours of the oropharynx and oral cavity in 39 cases. Twenty-six of these had primary lesions in the anterior two-thirds of the tongue. Eight cases had lesions in the base tongue, three in the cheek, and two in the tonsil. Twenty-six cases had T3 tumours, nine had T2 lesions, and four had T4 tumours. Twenty-five patients received post-operative radiotherapy. In 16 cases the mandibulotomy was combined with a marginal mandibulectomy. In 23 cases reconstruction was carried out using a pectoralis major myocutaneous flap. Adequate margins on histopathology obtained in all but eight patients. Bone-related complications occurred in only three patients, all of whom were previously irradiated. Thus the anterior mandibulotomy provides excellent exposure for oral and oropharyngeal tumours, with low complication rate, and avoidance of segmental mandibulectomy.
Url:
DOI: 10.1017/S0022215100122911
Affiliations:
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A." last="Tandon">D. A. Tandon</name><affiliation wicri:level="1"><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Otolaryngology and Head and Neck Surgery, New Delhi-110029</wicri:regionArea><wicri:noRegion>New Delhi-110029</wicri:noRegion></affiliation></author><author><name sortKey="Pande, R M" sort="Pande, R M" uniqKey="Pande R" first="R. M." last="Pande">R. M. Pande</name><affiliation wicri:level="1"><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Biostatistics, All India Institute of Medical Sciences, New Delhi-110029</wicri:regionArea><wicri:noRegion>New Delhi-110029</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">The Journal of Laryngology & Otology</title><title level="j" type="abbrev">J. Laryngol. Otol.</title><idno type="ISSN">0022-2151</idno><idno type="eISSN">1748-5460</idno><imprint><publisher>Cambridge University Press</publisher><pubPlace>Cambridge, UK</pubPlace><date type="published" when="1993-04">1993-04</date><biblScope unit="volume">107</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="316">316</biblScope><biblScope unit="page" to="319">319</biblScope></imprint><idno type="ISSN">0022-2151</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-2151</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">In the last six years, anterior mandibulotomy was used to approach tumours of the oropharynx and oral cavity in 39 cases. Twenty-six of these had primary lesions in the anterior two-thirds of the tongue. Eight cases had lesions in the base tongue, three in the cheek, and two in the tonsil. Twenty-six cases had T3 tumours, nine had T2 lesions, and four had T4 tumours. Twenty-five patients received post-operative radiotherapy. In 16 cases the mandibulotomy was combined with a marginal mandibulectomy. In 23 cases reconstruction was carried out using a pectoralis major myocutaneous flap. Adequate margins on histopathology obtained in all but eight patients. Bone-related complications occurred in only three patients, all of whom were previously irradiated. Thus the anterior mandibulotomy provides excellent exposure for oral and oropharyngeal tumours, with low complication rate, and avoidance of segmental mandibulectomy.</div></front></TEI><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Singh, Ajit Man" sort="Singh, Ajit Man" uniqKey="Singh A" first="Ajit Man" last="Singh">Ajit Man Singh</name></noRegion><name sortKey="Bahadur, Sudhir" sort="Bahadur, Sudhir" uniqKey="Bahadur S" first="Sudhir" last="Bahadur">Sudhir Bahadur</name><name sortKey="Pande, R M" sort="Pande, R M" uniqKey="Pande R" first="R. M." last="Pande">R. M. Pande</name><name sortKey="Tandon, D A" sort="Tandon, D A" uniqKey="Tandon D" first="D. A." last="Tandon">D. A. Tandon</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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