Management of mandibular invasion: when is a marginal mandibulectomy appropriate?
There has been a great deal of controversy regarding the appropriate method of management of oral cavity and oropharyngeal tumors that invade the mandible. The inability to acquire intraoperative bone margins can make the decision process complex. Preoperative imaging offers several advantages, however, there is no single modality that has proven accurate. Intraoperative assessment has been suggested as a method of evaluation, however, this approach does not allow for preoperative planning. The following is a review of the current literature regarding mandibular invasion and the indications for a marginal mandibulectomy.
Genden
Eric M
EM
Department of Otolaryngology-Head and Neck Surgery, Mount Sinai School of Medicine, New York, NY, USA.
Rinaldo
Alessandra
A
Jacobson
Adam
A
Shaha
Ashok R
AR
Suárez
Carlos
C
Lowry
John
J
Urquhart
Andrew C
AC
Werner
Jochen A
JA
Gullane
Patrick J
PJ
Ferlito
Alfio
A
D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008339:Mandibular Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D009361:Neoplasm Invasiveness; D019647:Oral Surgical Procedures / Q000379:methods*; D009959:Oropharyngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D019990:Perioperative Care; D011300:Preoperative Care; D011788:Quality of Life; D014057:Tomography, X-Ray Computed