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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1994;37(6): 1274-8. |
Mandibular Osteotomy in the Surgical Approach to the Oral Cavity and Oropharyngeal Cancer |
Eun Chang Choi, MD, Sung-Shik Kim, MD, Nam Sung Park, MD, and Won Pyo Hong, MD |
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea |
구강 및 구인두암의 수술적 접근을 위한 하악골절개술 |
최은창 · 김성식 · 박남성 · 홍원표 |
연세대학교 의과대학 이비인후과학교실 |
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ABSTRACT |
A recognized surgical approach to the tumors of the oral cavity and oropharynx involves splitting the lip and dividing the mandible. The undoubted benefits of this mandibular swing to the posterior oral cavity and oropharynx have been reported. What remains in question are the best site at which to divide the bone, the form the bone cut should take, and the most effective way of stabilizing the bone when continuity of the mandibular arch is reestablished. Various kinds of mandibulotomy are currently being used, A review of 21 patients who had underwent mandibulotomy was done retrospectively. We discussed the ideal sites, shapes of the mandibular osteotomy, repair materials and complications. Crevicular flap was the useful method to prevent complication of mandibulotomy. We think paramedian, stair-step osteotomy and repairing with the miniplate was the most suitable procedure for mandibulotomy.
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Keywords:
Mandibular osteotomyㆍOropharyngeal and oral cavity cancerㆍCrevicular flap. |
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