Display options
Cite
Schrom T, Bast F, Knipping S. Partial mandibulectomy without bony reconstruction in patients with oropharyngeal or mouth cancer. Contemp Oncol (Pozn). 2019;23(3):146-150doi: 10.5114/wo.2019.87575.
Schrom, T., Bast, F., & Knipping, S. (2019). Partial mandibulectomy without bony reconstruction in patients with oropharyngeal or mouth cancer. Contemporary oncology (Poznan, Poland), 23(3), 146-150. https://doi.org/10.5114/wo.2019.87575
Schrom, Thomas, et al. "Partial mandibulectomy without bony reconstruction in patients with oropharyngeal or mouth cancer." Contemporary oncology (Poznan, Poland) vol. 23,3 (2019): 146-150. doi: https://doi.org/10.5114/wo.2019.87575
Schrom T, Bast F, Knipping S. Partial mandibulectomy without bony reconstruction in patients with oropharyngeal or mouth cancer. Contemp Oncol (Pozn). 2019;23(3):146-150. doi: 10.5114/wo.2019.87575. Epub 2019 Sep 04. PMID: 31798329; PMCID: PMC6883967.
Copy Download .nbib Format: NLM
Share it on

Contemp Oncol (Pozn). 2019;23(3):146-150. doi: 10.5114/wo.2019.87575. Epub 2019 Sep 04.

Partial mandibulectomy without bony reconstruction in patients with oropharyngeal or mouth cancer.

Contemporary oncology (Poznan, Poland)

Thomas Schrom, Florian Bast, Stephan Knipping

Affiliations

  1. Department of Otorhinolaryngology, Helios Clinics Bad Saarow, Teaching Hospital of the Brandenburg Medical School Theodor Fontane, Bad Saarow, Germany.
  2. Ear, Nose, and Throat Department, Guy´s and St. Thomas´ Hospital, London, United Kingdom.
  3. Dessau Medical Centre, Department of Otorhinolaryngology, Head and Neck Surgery/Plastic Surgery, Dessau-Roßlau, Germany.

PMID: 31798329 PMCID: PMC6883967 DOI: 10.5114/wo.2019.87575

Abstract

AIM OF THE STUDY: Resection of tumours of the oral cavity has significant consequences relating to function and aesthetic properties. Advancements in surgical techniques and microvascular surgery have enabled reconstructive outcomes to reach those of pre-surgery levels with good functional and aesthetic results. However, reconstructive options are not without complications.

MATERIAL AND METHODS: We report the outcome of 23 patients with large tumours of the oral cavity or floor of the mouth, who underwent resection of the tumour and parts of the mandible without bony reconstruction. The patient population consisted of 19 oropharyngeal carcinomas and four floor of the mouth cancers, all of which had stage cT4 (six female and 17 male patients), and with an average patient age of 59.8 years. The pre- and postoperative ability to open the mouth, level of pain while masticating, mastication function pre and post-surgery, and the aesthetic outcome post-surgery were measured.

RESULTS: The results obtained were deemed pleasantly acceptable by the patients, from aesthetic, functional, and analgesic points of view.

DISCUSSION: A thorough preoperative work up is required and discussion with a multidisciplinary team is a necessity. This treatment option is more acceptable to the patient than would be expected and provides a satisfactory functional and aesthetic outcome. Therefore, we believe that partial mandibulectomy without bony reconstruction is an acceptable management option for a carefully selected group of patients who may not be suitable for the extensive surgery involved with bony reconstruction.

Copyright: © 2019 Termedia Sp. z o. o.

Keywords: mandibulectomy; oropharyngeal cancer; reconstruction

Conflict of interest statement

The authors declare no conflict of interest.

References

  1. J Oral Maxillofac Surg. 2014 Aug;72(8):1616-26 - PubMed
  2. Plast Reconstr Surg. 1989 Sep;84(3):391-403; discussion 404-5 - PubMed
  3. Biomed Eng Online. 2014 May 23;13:63 - PubMed
  4. Curr Opin Otolaryngol Head Neck Surg. 2012 Aug;20(4):231-6 - PubMed
  5. HNO. 2013 Jul;61(7):551-8 - PubMed
  6. J Plast Reconstr Aesthet Surg. 2014 Sep;67(9):1171-85 - PubMed
  7. J Craniomaxillofac Surg. 2012 Dec;40(8):e511-5 - PubMed
  8. Plast Reconstr Surg. 1995 Sep;96(3):585-96; discussion 597-602 - PubMed
  9. Laryngoscope. 1990 Apr;100(4):364-74 - PubMed
  10. Plast Reconstr Surg. 2003 Jul;112(1):37-42 - PubMed
  11. Otolaryngol Head Neck Surg. 1999 Oct;121(4):388-92 - PubMed
  12. Mund Kiefer Gesichtschir. 2005 May;9(3):137-42 - PubMed
  13. Oral Oncol. 2005 Sep;41(8):776-82 - PubMed
  14. Head Neck. 1997 Jul;19(4):287-96 - PubMed
  15. Int J Oral Maxillofac Surg. 2008 Nov;37(11):1009-13 - PubMed
  16. Br J Oral Maxillofac Surg. 2014 Feb;52(2):163-7 - PubMed
  17. Head Neck Surg. 1978 Sep-Oct;1(1):52-8 - PubMed
  18. Int J Oral Maxillofac Surg. 2006 May;35(5):427-32 - PubMed
  19. J Prosthet Dent. 1994 Sep;72(3):303-8 - PubMed
  20. Int J Clin Oncol. 2005 Aug;10(4):234-42 - PubMed
  21. Laryngoscope. 2012 Nov;122(11):2402-6 - PubMed
  22. Br J Oral Maxillofac Surg. 2010 Mar;48(2):100-4 - PubMed
  23. Laryngoscope. 1991 Sep;101(9):935-50 - PubMed
  24. Int J Oral Maxillofac Surg. 2007 Sep;36(9):802-6 - PubMed

Publication Types