Buccal plate excision for buccal paramandibular spread

Abstract

Cancer of buccal gingival sulcus lie in close proximity to mandible but tend to invade bone late in the course of disease. Segmental mandibulectomy advocated for these tumors results in cosmetic disfigurement and functional impairment. We, for the first time, describe a mandibular preservation alternative, in form of buccal cortical plate excision, for these tumors.

Outcome Analysis of Advanced Oral Cancers Requiring Large Composite Fibular Osteocutaneous Flap Reconstruction

“…Furthermore, we assessed the various clinicopathologic factors affecting survival in this cohort and the surgical morbidity associated to evaluate the utility of surgical management of such cases. The clinical TNM stage was predominantly stage VI A because of the presence of either skin or bone involvement necessitating the said resection criteria, and the small fraction of cases of pathological stages I to III in our cohort had large mucosal primaries with paramandibular disease requiring mandibulectomy 15,16 …”

“…The clinical TNM stage was predominantly stage VI A because of the presence of either skin or bone involvement necessitating the said resection criteria, and the small fraction of cases of pathological stages I to III in our cohort had large mucosal primaries with paramandibular disease requiring mandibulectomy. 15,16 The 5-year overall survival for the cohort was surprisingly 52.1%, and the disease-free survival was 48.6%. Multiple studies have shown the 5-year overall survival of oral squamous cell carcinomas to be ranging from 79.9% to 60% for the entire spectrum of TNM stages.…”