Mandibular Osteotomy and Lingual Flaps: Use in Patients With Cancer of the Tonsil Area and Tongue Base

Mandibular invasion in oral squamous cell carcinoma: investigation by clinical examination and orthopantomogram

“…However, MARCHETTA et al 24,25 , demonstrated that carcinomatous involvement of the mandible occurred by direct invasion rather than by lymphatic spread and that mandible could be preserved if there was clinically normal tissue intervening between tumour and bone. These findings led to the consideration of more conservative operations preserving mandibular continuity in lesions not invading into bone without adversely affecting local tumour control 12,14,19,45,47 .…”

Rim versus sagittal mandibulectomy for the treatment of squamous cell carcinoma: Two types of mandibular preservation

“…For that reason, more conservative techniques have been devised in an attempt to avoid the problems arising from segmental mandibular resection. With the purpose to preserve the mandibular continuity, three techniques have been described: the lateral osteotomy15 for oropharyngeal lesions, the “pull‐through”16 for lateral tongue and floor of mouth lesions, and marginal mandibulectomy for those patients having tumors approaching or superficially involving bone.…”

Anterior mandibulotomy for oral and oropharyngeal tumours

“…The osteotomy was bevelled to give better fixation. De Santo et al (1975) also preferred this approach for tonsil and base tongue lesions.…”