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Straight midline mandibulotomy : technique and results of treatment
المؤلف
المصدر
Journal of the Egyptian National Cancer Institute
العدد
المجلد 19، العدد 4 (31 ديسمبر/كانون الأول 2007)، ص ص. 292-298، 7ص.
الناشر
جامعة القاهرة المعهد القومي للأورام
تاريخ النشر
2007-12-31
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الموضوعات
الملخص EN
Background : Mandibulotomy is an important surgical approach to tumors of the oral cavity and oropharynx.
However the approaches and complications associated with this procedure varies in many studies.
Objectives : The objective of this study is to discuss the feasibility of the technique and to evaluate its advantage and related complications.
Methods : A prospective study of 23 consecutive patients undergoing planned straight midline mandibular osteotomies as part of the ablative surgery for intraoral carcinoma.
Twelve patients had primary lesions affecting the anterior two-thirds of the tongue, four at floor of mouth, three at posterior two-thirds of the tongue, two at deep lobe of parotid, one at soft palate and one at tonsil.
Thirteen cases had T3 tumours, seven had T2 lesions and three had T4 tumors.
In 5 patients the mandibulotomy was combined with a marginal mandibulectomy.
Nineteen patients received post-operative radiotherapy.
Various flaps were used for reconstruction : Pectoralis major myocutaneous flap (n=7), tongue flap (n=4) and radial forearm free vascular flap (n = 2) cases.
Primary closure using remaining mucosa was achieved in 10 patients.
Adequate margins were achieved in all patients as proved by histopathology.
Results : Primary healing of the osteotomy was noted in all patients and 5 (21.7%) patients had mandibulotomyrelated complications.
One patient has lost one of the incisors adjacent to the mandibulotomy site during the operation.
Dental problems with resorption of the alveolar margin and loosening of the teeth adjacent to the osteotomy were observed in 3 patients, one of them had lost his teeth.
Conclusions : Straight midline mandibulotomy provides excellent exposure for oral and oropharyngeal tumours, it is an easy procedure with low complication rate.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Zuhayri, Muhammad A.. 2007. Straight midline mandibulotomy : technique and results of treatment. Journal of the Egyptian National Cancer Institute،Vol. 19, no. 4, pp.292-298.
https://search.emarefa.net/detail/BIM-282895
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Zuhayri, Muhammad A.. Straight midline mandibulotomy : technique and results of treatment. Journal of the Egyptian National Cancer Institute Vol. 19, no. 4 (Dec. 2007), pp.292-298.
https://search.emarefa.net/detail/BIM-282895
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Zuhayri, Muhammad A.. Straight midline mandibulotomy : technique and results of treatment. Journal of the Egyptian National Cancer Institute. 2007. Vol. 19, no. 4, pp.292-298.
https://search.emarefa.net/detail/BIM-282895
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 298
رقم السجل
BIM-282895
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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