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November 1994

Mandible Preservation in Cancer of the Floor of the Mouth: Anatomical and Oncological Considerations

Author Affiliations

From the Departments of Otolaryngology, Lenox Hill Hospital and Manhattan Eye, Ear, and Throat Hospital, Cornell University Medical College, New York, NY.

Arch Otolaryngol Head Neck Surg. 1994;120(11):1197-1200. doi:10.1001/archotol.1994.01880350013003

An extended marginal mandibulectomy can be performed in most T2-T3 carcinomas of the floor of the mouth that abut the anterior mandible if there is no radiologic evidence of bony invasion or clinical evidence of fixation. We propose a modification of the marginal mandibulectomy that maintains viability to the anterior mandibular remnant and thus decreases the morbidity associated with a loss of blood supply. This modification permits preservation of a viable mandibular remnant with significantly less loss of function than with the traditional segmental mandibular resection, while remaining oncologically sound.

(Arch Otolaryngol Head Neck Surg. 1994;120:1197-1200)

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