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Review of segmental and marginal resection of the mandible in patients with oral cancer

Identifieur interne : 009071 ( Main/Exploration ); précédent : 009070; suivant : 009072

Review of segmental and marginal resection of the mandible in patients with oral cancer

Auteurs : Massimo Politi [Italie] ; Fabio Costa [Italie] ; Massimo Robiony [Italie] ; Alessandra Rinaldo [Italie] ; Alfio Ferlito [Italie]

Source :

Acta oto-laryngologica [ 0001-6489 ] ; 2000.

RBID : Pascal:00-0454327

Descripteurs français

Pascal (Inist)
- Tumeur maligne, Cavité buccale, Mandibule, Traitement, Algorithme, Chirurgie, Indication, Article synthèse, Revue bibliographique, Dissémination locale, Exploration, Histopathologie, Tomodensitométrie, Imagerie RMN, Radiographie panoramique, Homme.
Wicri :
- topic : Chirurgie, Homme.

English descriptors

KwdEn :
- Algorithm, Bibliographic review, Computerized axial tomography, Exploration, Histopathology, Human, Indication, Local dissemination, Malignant tumor, Mandible, Nuclear magnetic resonance imaging, Oral cavity, Panoramic radiography, Review, Surgery, Treatment.

Abstract

This paper reviews the medical literature of the last decade to ascertain the criteria used to assess mandibular invasion by cancer of the oral cavity and to suggest how best to evaluate the mandible with a view to surgical management. It is generally agreed that patients with mandibular invasion should be treated surgically, but the extent of mandibular resection required remains a controversial matter and the accurate preoperative determination of neoplastic invasion of the mandible remains a challenge for head and neck surgeons. The relative reliability of preoperative orthopantomography, (OPG) bone scanning, computed tomography (CT) and magnetic resonance imaging (MRI), and of peroperative periosteal stripping and direct inspection in clinical assessment for mandibular surgery, is discussed. The histological patterns of tumor invasion and the most common routes of tumor entry in the mandible are described and the influence of variables such as prior radiotherapy and an edentulous vs a dentate state in relation to perineural invasion are also discussed. Finally, a comparison is drawn between the reported outcome of marginal vs segmental resection procedures and a decision-making algorithm is proposed. In selected cases, marginal mandibulectomy can ensure satisfactory tumor control, with a favorable effect on the morbidity associated with mandibular surgery.

Affiliations:

Italie

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: 000675
to stream PascalFrancis, to step Curation: 000029
to stream PascalFrancis, to step Checkpoint: 000670
to stream Main, to step Merge: 009457
to stream Main, to step Curation: 009071

Le document en format XML

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<front><div type="abstract" xml:lang="en">This paper reviews the medical literature of the last decade to ascertain the criteria used to assess mandibular invasion by cancer of the oral cavity and to suggest how best to evaluate the mandible with a view to surgical management. It is generally agreed that patients with mandibular invasion should be treated surgically, but the extent of mandibular resection required remains a controversial matter and the accurate preoperative determination of neoplastic invasion of the mandible remains a challenge for head and neck surgeons. The relative reliability of preoperative orthopantomography, (OPG) bone scanning, computed tomography (CT) and magnetic resonance imaging (MRI), and of peroperative periosteal stripping and direct inspection in clinical assessment for mandibular surgery, is discussed. The histological patterns of tumor invasion and the most common routes of tumor entry in the mandible are described and the influence of variables such as prior radiotherapy and an edentulous vs a dentate state in relation to perineural invasion are also discussed. Finally, a comparison is drawn between the reported outcome of marginal vs segmental resection procedures and a decision-making algorithm is proposed. In selected cases, marginal mandibulectomy can ensure satisfactory tumor control, with a favorable effect on the morbidity associated with mandibular surgery.</div>
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Review of segmental and marginal resection of the mandible in patients with oral cancer

Review of segmental and marginal resection of the mandible in patients with oral cancer

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri