[Restoration of the mandible after trans-mandibular approach of invasive tumors of the oropharynx (43 cases)].
Preservation of the mandible is often possible in surgery of invasive malignant tumors of the oropharynx. From 1983 to 1993, we operated 158 T3 of the oropharynx: 73% with mandibulectomy and 27% with osteotomy (43 cases). Now, the osteotomy of the mandible is performed in more than 90% of the patients. The osteosynthesis needs two titanium plates; the pharyngoplasty is made with a pectoralis major myocutaneous flap. Followup: 36 cases of 43 gave satisfactory results. The osteotomy complication rate was 5 (12%): 5 osteitis (2 after radiotherapy).
Beauvillain
C
C
Clinique ORL et CCF, hôtel-Dieu, Nantes, France.
Boukhedenna
C
C
Bordure
P
P
Legent
F
F
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008875:Middle Aged; D009959:Oropharyngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D010611:Pharyngectomy / Q000009:adverse effects / Q000379:methods*; D013524:Surgical Flaps
La réparation de la mandibule après abord transmandibulaire des tumeurs étendues de l'oropharynx (43 cas).