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Modified facelift approach for posterior segmental mandibulectomy: a blend of oncology and cosmesis
Vishal Rao1, Anand Subash2, Piyush Sinha2
1Department of Head and Neck Oncology, HCG Cancer Centre, No 8, HCG Towers, P. Kalinga Rao Road, Sampangi Ram Nagar, Bangalore, Karnataka, 560020, India. drvishal.rao@hcgoncology.com.
Background:
The approach to the mandible for segmental resection in malignant pathologies entails a lip-split, angle-split or visor flap incision with extension of the incision into the neck for performing neck dissection. The modified facelift approach with robot-assisted neck dissection can be used to achieve oncologically safe resections with good cosmesis.
Methods:
Three patients meeting the inclusion criteria underwent the procedure at the Robotic facility of HCG Cancer Centre, Bangalore.
Results:
The patients were analyzed on the basis of bone defect length, the margin status of primary, functional and aesthetic outcomes. One patient had wound dehiscence and needed secondary suturing. At 6 months, patients were satisfied with the aesthetic outcomes and functional results CONCLUSION: Modified facelift approach is a feasible procedure ensuring better cosmesis without compromising oncological outcomes.
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