Erschienen in:
01.04.2020 | Head and Neck
Modified facelift approach for posterior segmental mandibulectomy: a blend of oncology and cosmesis
verfasst von:
Vishal Rao, Anand Subash, Piyush Sinha, Rachana Prasad, Kinjal Majumdar, Prasanth Puranik
Erschienen in:
European Archives of Oto-Rhino-Laryngology
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Ausgabe 4/2020
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Abstract
Background
The approach to the mandible for segmental resection in malignant pathologies entails a lip-split, angle-split or visor flap incision with extension of the incision into the neck for performing neck dissection. The modified facelift approach with robot-assisted neck dissection can be used to achieve oncologically safe resections with good cosmesis.
Methods
Three patients meeting the inclusion criteria underwent the procedure at the Robotic facility of HCG Cancer Centre, Bangalore.
Results
The patients were analyzed on the basis of bone defect length, the margin status of primary, functional and aesthetic outcomes. One patient had wound dehiscence and needed secondary suturing. At 6 months, patients were satisfied with the aesthetic outcomes and functional results
Conclusion
Modified facelift approach is a feasible procedure ensuring better cosmesis without compromising oncological outcomes