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European Archives of Oto-Rhino-Laryngology

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 | 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

Shah JP (2007) Surgical approaches to the oral cavity primary and neck. Int J Radiat Oncol Biol Phys 69(2 Suppl):S15–S18. https://doi.org/10.1016/j.ijrobp.2007.03.069 CrossRefPubMed

Gupta N, Gupta R, Acharya AK et al (2016) Changing trends in oral cancer—a global scenario. Nepal J Epidemiol 6(4):613–619. https://doi.org/10.3126/nje.v6i4.17255 CrossRefPubMedPubMedCentral

National Comprehensive Cancer Network (NCCN) (2019) NCCN clinical practice guidelines in oncology. NCCN Guidelines Version 1.201 Head and Neck Cancers

Rao V, Prasad R, Subash A, Sinha P, Majumdar K (2019) Technique of flap elevation for robot assisted selective neck dissection via retroauricular approach: a surgeon’s guide. J Robot Surg. https://doi.org/10.1007/s11701-019-00992-5 CrossRefPubMed

Fingeret MC, Hutcheson KA, Jensen K, Yuan Y, Urbauer D, Lewin JS (2013) Associations among speech, eating, and body image concerns for surgical patients with head and neck cancer. Head Neck 35(3):354–360CrossRef

Bianchi B, Copelli C, Ferrari S, Ferri A, Sesenna E (2010) Facial animation in patients with Moebius and Moebius-like syndromes. Int J Oral Maxillofac Surg 39(11):1066–1073CrossRef

Bianchi B, Ferri A, Ferrari S, Copelli C, Sesenna E (2011) Improving esthetic results in benign parotid surgery: statistical evaluation of facelift approach, sternocleidomastoid flap, and superficial musculoaponeurotic system flap application. J Oral Maxillofac Surg 69(4):1235–1241CrossRef

Terris DJ, Singer MC, Seybt MW (2011) Robotic facelift thyroidectomy: II Clinical feasibility and safety. Laryngoscope 121(8):1636–1641CrossRef

Sukato DC, Ballard DP, Abramowitz JM, Rosenfeld RM, Mlot S (2018) Robotic versus conventional neck dissection: a systematic review and meta-analysis. Laryngoscope. https://doi.org/10.1002/lary.27533 CrossRefPubMed

10.

Brown JS, Barry C, Ho M, Shaw R (2016) A new classification for mandibular defects after oncological resection. Lancet Oncol 17(1):e23–e30. https://doi.org/10.1016/S1470-2045(15)00310-1 CrossRefPubMed

11.

Bianchi B, Ferri A, Ferrari S, Copelli C, Sesenna E (2014) Facelift approach for mandibular resection and reconstruction. Head Neck 36(10):1497–1502PubMed

Titel: 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
Publikationsdatum: 01.04.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 4/2020
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-020-05793-3

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Springer Medizin

Modified facelift approach for posterior segmental mandibulectomy: a blend of oncology and cosmesis

Abstract

Background

Methods

Results

Conclusion

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Springer Medizin

Abstract

Background

Methods

Results

Conclusion

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