Segmental/hemi mandibulectomy without flap reconstruction for T4a lower gingival cancer

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  • Honda Keigo
    Japanese Red Cross Wakayama Medical Center
  • Asato Ryo
    Department of Head and Neck Surgery, National Hospital Organization, Kyoto Medical Center
  • Miyazaki Masakazu
    Department of Head and Neck Surgery, National Hospital Organization, Kyoto Medical Center
  • Kada Shinpei
    Department of Otolaryngology, National Hospital Organization, Kyoto Medical Center
  • Tsujimura Takashi
    Department of Head and Neck Surgery, National Hospital Organization, Kyoto Medical Center
  • Kataoka Yukiko
    Department of Otolaryngology, National Hospital Organization, Kyoto Medical Center

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Other Title
  • 下顎歯肉癌T4a症例に対する非再建区域（半）切除術

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Abstract

We report the functional and oncologic results of segmental/hemi mandibulectomy without flap reconstruction for T4a lower gingival cancer in patients who were thought not to be fit for reconstructive surgery due to poor systemic conditions.<br>Subjects/methods: A retrospective chart review was performed on 7 patients who had been treated for T4a lower gingival cancer by segmental/hemi mandibulectomy without reconstruction between 2009 and 2014.<br>Results: Neck dissection was performed for 4 patients, and tracheostomy for all 7 patients. The median operation time was 157 minutes and the median blood loss was 220g. Observed wound complications included oro-cutaneous fistula in one patient and cervical infection in another patient. No systemic complications were observed. All patients regained oral intake.<br>Conclusion: Segmental/hemi mandibulectomy without reconstruction is a curative and less invasive treatment, which can be a reasonable treatment option for patients with poor conditions.

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