[Mandibular swing procedure for surgical resection of advanced oropharyngeal carcinoma].
OBJECTIVE
To explore a better approach to resect the advanced oropharyngeal carcinoma.


METHODS
From 1995 to 2005, 17 patients underwent mandibular swing procedure for excision of advanced oropharyngeal carcinoma including: 13 tonsillar cancers, 2 soft palate carcinomas and 2 lingual root cancers. Surgical procedure was selected according to the lesion. All tumors were resected through the mandibular swing approach or its combined approaches. Immediate reconstruction of the surgical defect was done using tongue flap, pectoralis major myocutaneous flap, sternohyoid myofascial flap, temporalis myofascial flap and forehead flap, respectively. After surgical resection of the tumors, all patients received postoperative radiotherapy.


RESULTS
All patients' advanced oropharyngeal carcinoma were successfully resected as planned through the mandibular swing procedure or its combined procedures without severe complications. Functions of deglutition, respiration and speech were well restored. The 3- and 5-year survival rate was 54. 5% and 40%, respectively.


CONCLUSIONS
The mandibular swing procedure and its combined approach is safe and effective in the surgical resection of the advanced oropharyngeal carcinoma, which can provide a good exposure for the oropharynx, supraglottic region, hypopharynx, the parapharyngeal space and the base of the skull.
Xie
Jin
J
Department of Otorhinolaryngology and Head & Neck Surgery, First Shanghai People's Hospital, Jiaotong University, Shanghai 200080, China. Lancet11@yahoo.com.cn
Dong
Pin
P
Jin
Bin
B
Li
Ke-yong
KY
Wang
Jie
J
Tu
Li-qiang
LQ
Zhang
Jia
J
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000528:radiation effects / Q000601:surgery*; D008875:Middle Aged; D009367:Neoplasm Staging; D009959:Oropharyngeal Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D011184:Postoperative Period; D018714:Radiotherapy, Adjuvant; D016019:Survival Analysis; D014067:Tonsillar Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*