Authors : Shekhargouda , Digvijay B Patil
DOI : 10.18231/j.ijashnb.2022.016
Volume : 8
Issue : 2
Year : 2022
Page No : 72-76
Introduction: Surgery is the most well-established mode of initial definitive treatment for the majority of oral cancers. The most important decision in terms of tumor ablation in oral cancers when the jaws are potentially involved is the management of the mandible.
Materials and Methods: The present study was conducted at a tertiary healthcare institute among 61 patients who underwent bony resection for Squamous Cell Carcinoma (SCC) close to the mandible, adherent or directly invading this bone, from January 2021 to December 2021. Records of the patients were reviewed. The patients whose surgical resection involved a marginal or segmental mandibulectomy and with a minimum follow-up of 24 months were included in the analysis. Adequate clinical information was available in 61 patients.
Conclusions: Size of mandibular resection greater than 4 cm and tumor infiltration beyond the resection margins are correlated with poor survival rates, but no differences between marginal or segmental mandibulectomies could be shown, as was the case in other reports. When gross bone involvement has occurred, segmental resection is the method of choice. Careful case selection will allow a favorable oncologic outcome with preservation of mandibular contour.
Keywords: Marginal mandibulectomy, Segmental mandibulectomy, Hemimandibulectomy and Oral cancers