Gaillard A, Sapanet M, Hofmann B, Jacquemaire D
Rev Stomatol Chir Maxillofac. 1983;84(2):76-9.
Trans-mandibular oropharyngectomy was performed in 34 patients, as initial treatment in 20 cases and following tumoral recurrence after radiotherapy in the other 14 cases. Results indicate that mandibular conservation is possible when bone is not affected by the neoplastic process and when an oropharyngoplasty ensures perfect covering of the mandible. The site of choice for osteotomy-osteosynthesis appears to be the parasymphysial region, as this provides a very satisfactory route of approach, the mental nerve and innervation of the lip are respected, it is situated outside of the irradiation field (before or after surgery), and there are no dental articulation complications.
对34例患者实施了经下颌骨口咽切除术，其中20例作为初始治疗，另外14例在放疗后肿瘤复发时进行。结果表明，当骨质未受肿瘤病变影响且口咽成形术能确保完美覆盖下颌骨时，下颌骨保留是可行的。截骨-接骨术的首选部位似乎是颏下区，因为它提供了非常令人满意的入路途径，能保留颏神经和唇部神经支配，位于照射野之外（手术前后），且无牙关节并发症。
