The oral-cutaneous stoma should be considered in two situations: (1) in the patient who has received radiation therapy for a large floor of the mouth cancer, but who then requires a composite resection including the lateral portion of the mandible and more than 50% of the oral tongue (past the midline); and (2) in the patient who requires resection of the anterior arch of the mandible and in whom an immediate mandibular prosthesis is desired to prevent severe cosmetic deformity. The decision to create the stoma should be made in advance of the operation so that adequate operative planning and execution may reduce the morbidity and mortality associated with attempts at primary closure. Immediate prosthesis will minimize the cosmetic deformity.
Jaffe BF. Oral-Cutaneous Stomas for Oral Cavity Cancer. Arch Otolaryngol. 1971;93(3):275–279. doi:10.1001/archotol.1971.00770060413009
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