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Clinical Challenges
May 2002

Clinical Commentary on Marginal vs Segmental Resection of the Mandible

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2002;128(5):605-606. doi:10.1001/archotol.128.5.605

The authors have done very well in accurately reporting the current literature on the complex topic of whether marginal mandibulectomy or segmental mandibulectomy should be carried out in patients with FOM SCCA. The hypothesis that marginal mandibulectomy is never appropriate in oral-cavity SCCA invasion of the mandibular periosteum without clinical findings of bone invasion was examined based on data from a MEDLINE search that produced 18 articles in the English language from 1980 to 2001. It is clear from this review article and from other literature that the use of marginal mandibulectomy is controversial. Lack of prospective trials with adequate numbers of patients comparing this procedure with segmental mandibulectomy accounts for much of this controversy.