Oropharyngectomy without mandibulotomy in advanced stage (T3-T4) oropharyngeal cancer.
CONCLUSIONS
The postoperative course was excellent for this type of surgery, and the functional recovery was comparable to that obtained with much more laborious techniques.


OBJECTIVE
To compare the advantages and disadvantages of the described technique and oropharyngectomy with labial mandibulotomy.


METHODS
A total of 46 patients underwent surgery by means of an oropharyngectomy without mandibulotomy. The pharynx was reconstructed using a plasty made of four regional flaps.


RESULTS
In addition to obvious esthetic benefits, complications of the osteotomy were absent and surgical time was reduced. Some patients undergoing pull-through oropharyngectomy also underwent a marginal mandibulectomy, markedly reducing the frequency of radionecrosis compared with other statistics of techniques using mandibulotomy.
Basterra
J
J
Department of Otolaryngology and Head and Neck Surgery, Valencia University Hospital, and Valencia Medical School, Surgical Department, Valencia, Spain. jorge.basterra@uv.es
Bagán
J V
JV
Alba
J R
JR
Frías
S
S
Zapater
E
E
D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008875:Middle Aged; D009367:Neoplasm Staging; D009959:Oropharyngeal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D010611:Pharyngectomy / Q000379:methods*; D010614:Pharynx / Q000503:physiopathology; D011184:Postoperative Period; D020127:Recovery of Function / Q000502:physiology; D012720:Severity of Illness Index; D013030:Spain / Q000453:epidemiology; D015996:Survival Rate / Q000639:trends; D013997:Time Factors; D016896:Treatment Outcome