Mandibulotomy, A Surgical approach for Oral cancer: Its Complications and contributing factors.
- Author:
Seong Kyu BYUN
1
;
Eun Chang CHOI
;
Won Se PARK
;
Eui Woong LEE
;
In Ho CHA
Author Information
1. Department of Oral and Maxillofacial Surgery, College of Dentistry.
- Publication Type:Original Article
- Keywords:
Oral cancer;
Mandibulotomy;
Complication
- MeSH:
Humans;
Incidence;
Mandible;
Mouth Neoplasms*;
Osteoradionecrosis;
Osteotomy
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2000;26(4):422-426
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We reviewed 56 patients who received mandibulotomy at Yonsei medical center between 1989 and 1999. We also analysed the complications associated with mandibulotomy and its contributing factors. The complications occur in 16 patients(28.6%) and are classified into two categories; intraoperative and postperative complications. Nonunion was observed in 5 patients and osteoradionecrosis in 5. The patients who received preoperative radiation therapy were more tend to develop nonunion and osteoradionecrosis. This study suggests the benefits of mandibulotomy as a surgical approach to oral cancer: 1. Paramedian osteotomy was recommended for preservation of neurovascular bundle and ease of surgical access. 2. By using thin saw blade, reapproximation was improved with minimal bone loss. 3. osteotomy on anterior mandible which lies outside the usual portals of radiation therapy decreases the incidence of osteoradionecrosis.
