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M Jungehülsing1,2, O Guntinas-Lichius3, J P Klussmann3

  • 1Klinikum Ernst von Bergmann, Potsdam. mjungehuelsing@klinikumevb.de.

HNO
|March 9, 2017
PubMed
Summary

Deep oral cavity, oropharyngeal, and parapharyngeal tumors often require extensive surgery. This review examines surgical approaches, including mandibular swing, and graft techniques for complex head and neck cancer resection.

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Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Surgical Oncology

Context:

  • Tumors in the deep oral cavity, oropharynx, and parapharyngeal space present significant surgical challenges due to their location and size.
  • CO2 laser dissection is often not feasible for these extensive tumors.
  • Malignant tumors of the tongue base, vallecula, and parapharyngeal salivary glands necessitate wide surgical access.

Purpose:

  • To review and compare various surgical approaches for oropharyngeal tumors.
  • To specifically highlight the utility and techniques of mandibular swing procedures.
  • To critically evaluate different reconstructive graft techniques for complex resections.

Summary:

  • Deep-seated head and neck tumors require conventional surgical exposure for complete resection (R0), reconstruction, and bleeding control.
Keywords:
Graft techniquesMandibular swing proceduresMesopharynxParapharyngeal spaceSurgical exposure

Related Experiment Videos

  • The mandibular swing approach offers wide access for these challenging dissections.
  • Various local and microvascular grafts are assessed for oropharyngeal and tongue reconstruction.

    • Impact:

    • Provides a comprehensive overview of surgical strategies for difficult-to-access head and neck cancers.
    • Informs surgical decision-making regarding the choice of approach and reconstruction method.
    • Aims to improve outcomes for patients with advanced oropharyngeal and parapharyngeal space tumors.