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Updated: Jul 12, 2026
Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
Published on: October 24, 2025
Oropharyngectomy without mandibulotomy in advanced stage (T3-T4) oropharyngeal cancer
J Basterra1, J V Bagán, J R Alba
1Department of Otolaryngology and Head and Neck Surgery, Valencia University Hospital, and Valencia Medical School, Surgical Department, Valencia, Spain. jorge.basterra@uv.es
Conclusions:
The postoperative course was excellent for this type of surgery, and the functional recovery was comparable to that obtained with much more laborious techniques.
Objectives:
To compare the advantages and disadvantages of the described technique and oropharyngectomy with labial mandibulotomy.
Patients And Methods:
A total of 46 patients underwent surgery by means of an oropharyngectomy without mandibulotomy. The pharynx was reconstructed using a plasty made of four regional flaps.
Results:
In addition to obvious esthetic benefits, complications of the osteotomy were absent and surgical time was reduced. Some patients undergoing pull-through oropharyngectomy also underwent a marginal mandibulectomy, markedly reducing the frequency of radionecrosis compared with other statistics of techniques using mandibulotomy.
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