Bahadur S
Department of Otolaryngology, Head and Neck Surgery, All India Institute of Medical Science, Ansari Nagar, New Delhi.
Indian J Cancer. 1994 Dec;31(4):235-9.
Preservation of mandible in selected cases of oral cancer provides good quality of life following surgery. The present paper based on 37 cases discusses the indications, surgical techniques and results of marginal resection of mandible. It was feasible to carry out conservation surgery even in advanced lesions (31 of 37 had stage III and IV lesion). It could be carried out in lesions close to or those clinically seem to involve the bone provided there was negative radiology. Marginal mandibulectomy could be combined with mandibulotomy in selected cases to achieve additional soft tissue clearance and better exposure. Twenty two (59%) patients were surviving disease free after such surgery for follow ups ranging 2-5 years.
在部分口腔癌病例中保留下颌骨可在术后提供良好的生活质量。本文基于37例病例，探讨了下颌骨边缘性切除的适应证、手术技术及结果。即使在晚期病变中进行保肢手术也是可行的（37例中有31例为III期和IV期病变）。对于那些靠近骨骼或临床上似乎累及骨骼但影像学检查为阴性的病变，也可进行保肢手术。在部分病例中，边缘性下颌骨切除术可与下颌骨切开术联合进行，以实现额外的软组织清除并获得更好的术野暴露。22例（59%）患者在接受此类手术后无病存活，随访时间为2至5年。
