En bloc cortical resection in the treatment of paramandibular carcinomas

The authors describe a method which, according to the site of the lesion, permits the removal of a segment of the internal or external mandibular cortex en bloc with the primary tumour and with the satellite lymph nodes. This method, which retains the continuity and height of the mandible, offers the advantage of a greater radicality and at the same time avoids those impairments of the endoral morphology which are an obstacle to a subsequent prosthetic rehabilitation. Its advantages are compared with other surgical techniques proposed for the treatment of paramandibular cancer.