Buccal plate excision for buccal paramandibular spread

Area of Science:

• Oral oncology
• Surgical oncology
• Maxillofacial surgery

Background:

• Buccal gingival sulcus cancers are anatomically close to the mandible.
• These tumors typically invade mandibular bone late in their progression.
• Current treatment, segmental mandibulectomy, causes significant cosmetic and functional deficits.

Purpose of the Study:

• To present a novel surgical technique for buccal gingival sulcus cancers.
• To describe mandibular preservation as an alternative to segmental mandibulectomy.
• To evaluate the feasibility of buccal cortical plate excision for these tumors.

Main Methods:

• The study describes a surgical approach involving buccal cortical plate excision.
• This technique aims to preserve the mandible while achieving tumor resection.
• Details of the procedure are presented for the first time.

Main Results:

• Buccal cortical plate excision offers a mandibular preservation alternative.
• This method potentially reduces cosmetic disfigurement and functional impairment.
• The study highlights a new surgical option for specific oral cancers.

Conclusions:

• Buccal cortical plate excision is a viable alternative for select buccal gingival sulcus cancers.
• This technique preserves mandibular integrity, improving patient outcomes.
• Further research should explore the oncological safety and long-term efficacy of this approach.