JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2015, Vol. 53 ›› Issue (8): 79-82.doi: 10.6040/j.issn.1671-7554.0.2014.1009

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Applications of different mandibulotomy approaches to the resection of pharyngeal region tumors

HUANG Naibang1,2, DA Peng1, LU Jun3, WU Hao1   

  1. 1. Department of Otolaryngology Head and Neck Surgery, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu, China;
    2. Department of Otolaryngology Head and Neck Surgery, Yancheng City No.1 People's Hospital, Yancheng 224000, Jiangsu, China;
    3. Department of Stomatology, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu, China
  • Received:2014-12-29 Published:2015-08-10

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Abstract: Objective To discuss the indications of different mandibulotomy approaches for the exposure and resection of tumors in the pharyngeal region. Methods A retrospective analysis was presented for 23 resection of pharyngeal region tumors between January 2006 and December 2013. The mandibulotomy included the middle of the corpus mandibulae osteotomy (7 cases), the angulus mandibulae osteotomy (6 cases), pure block or “L” shape corpus mandibulae osteotomy (5 cases), and through vertical corpus mandibulae osteotomy (5 cases). Results The operation visual fields were sufficient. The operations were completed smoothly and successfully.The cutting edge of malignant tumors were all negative. Twelve patients were treated with postoperative radiotherapy or radiotherapy companied by chemotherapy, and radioactive osteomyelitis did not occur. All patients' mandibular function recovered well and the degree of mouth opening and occlusion met the ideal requirements. Conclusion Different mandibulotomy approach should be chosen according to the primary tumor location, nature, and size. To take different approaches flexibly can not only acquire a good operative field but also meet the demand of one stage repairment and recovery of stomatognathic system function.

Key words: Mandible, Pharyngea, Surgery, Neoplasm

CLC Number: 

  • R739.9
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