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Published in: European Archives of Oto-Rhino-Laryngology 4/2020

01-04-2020 | Oral Cancer | Head and Neck

Modified facelift approach for posterior segmental mandibulectomy: a blend of oncology and cosmesis

Authors: Vishal Rao, Anand Subash, Piyush Sinha, Rachana Prasad, Kinjal Majumdar, Prasanth Puranik

Published in: European Archives of Oto-Rhino-Laryngology | Issue 4/2020

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Abstract

Background

The approach to the mandible for segmental resection in malignant pathologies entails a lip-split, angle-split or visor flap incision with extension of the incision into the neck for performing neck dissection. The modified facelift approach with robot-assisted neck dissection can be used to achieve oncologically safe resections with good cosmesis.

Methods

Three patients meeting the inclusion criteria underwent the procedure at the Robotic facility of HCG Cancer Centre, Bangalore.

Results

The patients were analyzed on the basis of bone defect length, the margin status of primary, functional and aesthetic outcomes. One patient had wound dehiscence and needed secondary suturing. At 6 months, patients were satisfied with the aesthetic outcomes and functional results

Conclusion

Modified facelift approach is a feasible procedure ensuring better cosmesis without compromising oncological outcomes
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Metadata
Title
Modified facelift approach for posterior segmental mandibulectomy: a blend of oncology and cosmesis
Authors
Vishal Rao
Anand Subash
Piyush Sinha
Rachana Prasad
Kinjal Majumdar
Prasanth Puranik
Publication date
01-04-2020
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 4/2020
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-020-05793-3

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