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The Role of Marginal Mandibulectomy in the Surgical Management of Oral Cancer

The Role of Marginal Mandibulectomy in the Surgical Management of Oral Cancer The Role of Marginal Mandibulectomy in the Surgical Management of Oral Cancer The subject of marginal mandibulec- dures. One would not perform a mar- tomy in surgical treatment of oral ginal mandibulectomy in patients cancers has been debated in the lit- with gross extension of tumor to the erature over the past 40 years. Dr cancellous part of the mandible where Wax and colleagues have presented segmental mandibulectomy is nec- a reasonable review of the subject and essary and, by the same token, one outlined the pros and cons of mar- would seldom perform a segmental ginal vs segmental mandibulec- mandibulectomy where there is no tomy, the rationale behind choos- evidence from any of the preopera- ing the operative procedure, and the tive evaluation methods described reported results in the literature. In above of bone invasion. In such situ- the end, they conclude that a variety ations, a marginal mandibulectomy of preoperative assessments includ- is considered appropriate to secure Jatin P. Shah, MD, MS(Surg), FRACS ing clinical examination, radiologi- margins around the tumor. Thus, lo- cal studies, examination under an- cal tumor control should not be con- esthesia, and intraoperative judgment sidered a parameter to demonstrate ography and a http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

The Role of Marginal Mandibulectomy in the Surgical Management of Oral Cancer

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Publisher
American Medical Association
Copyright
Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/archotol.128.5.604
Publisher site
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Abstract

The Role of Marginal Mandibulectomy in the Surgical Management of Oral Cancer The subject of marginal mandibulec- dures. One would not perform a mar- tomy in surgical treatment of oral ginal mandibulectomy in patients cancers has been debated in the lit- with gross extension of tumor to the erature over the past 40 years. Dr cancellous part of the mandible where Wax and colleagues have presented segmental mandibulectomy is nec- a reasonable review of the subject and essary and, by the same token, one outlined the pros and cons of mar- would seldom perform a segmental ginal vs segmental mandibulec- mandibulectomy where there is no tomy, the rationale behind choos- evidence from any of the preopera- ing the operative procedure, and the tive evaluation methods described reported results in the literature. In above of bone invasion. In such situ- the end, they conclude that a variety ations, a marginal mandibulectomy of preoperative assessments includ- is considered appropriate to secure Jatin P. Shah, MD, MS(Surg), FRACS ing clinical examination, radiologi- margins around the tumor. Thus, lo- cal studies, examination under an- cal tumor control should not be con- esthesia, and intraoperative judgment sidered a parameter to demonstrate ography and a

Journal

JAMA Otolaryngology - Head & Neck Surgery – American Medical Association

Published: May 1, 2002

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