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Related Experiment Videos

Lip-splitting in transmandibular resections: is it really necessary?

Giulio Cantù1, Gabriella Bimbi, Sarah Colombo

  • 1Cranio-Maxillo-Facial Surgery, Istituto Nazionale per lo Studio e la Cura dei Tumori (National Cancer Institute), Via Venezian 1, 20133 Milano, Italy. giulio.cantu@istitutotumori.mi.it

Oral Oncology
|May 9, 2006
PubMed
Summary

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Mandibular resection for oral cancer can be performed without splitting the lower lip, improving cosmetic outcomes and saving time. This non-lip-splitting technique is a viable alternative for transmandibular resections.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • Transmandibular resection is a standard technique for large oral and oropharyngeal tumors.
  • The traditional approach often involves lower lip splitting, which can lead to complications and affect cosmetic results.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of a non-lip-splitting technique in transmandibular resection for oral and oropharyngeal cancer.
  • To compare the non-lip-splitting approach with the traditional lip-splitting method regarding operative time, complications, and cosmetic results.

Main Methods:

  • Retrospective chart review of 700 patients undergoing transmandibular resection for oral/oropharyngeal cancer between 1980 and 2002.
  • Analysis of 332 patients operated without lower lip splitting, including details on neck dissection and flap reconstruction.

Related Experiment Videos

  • Comparison of outcomes between patients with and without lip splitting.

    • Main Results:

    • The non-lip-splitting technique did not complicate resection or reconstruction in 332 patients.
    • This approach was time-sparing by avoiding lip hemostasis and suture.
    • Cosmetic results were superior compared to the traditional lip-splitting technique.
    • The technique was also applied to pull-through, marginal mandibulectomy, and mandibular-swing approaches.

    Conclusions:

    • Lip-splitting is not necessary for transmandibular resection in oral and oropharyngeal tumor surgery.
    • The non-lip-splitting technique offers improved cosmetic outcomes and operative efficiency.
    • This approach is a valuable alternative for various mandibular resection techniques.