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Related Experiment Videos

Mandibulotomy and radical radiotherapy: compatible or not?

J Davidson1, J Freeman, P Gullane

  • 1Department of Otolaryngology, University of Toronto, Ontario, Canada.

The Journal of Otolaryngology
|October 1, 1988
PubMed
Summary

The mandibular swing procedure is feasible for upper aerodigestive tract cancers, even after radical preoperative radiotherapy. Complication rates were similar between irradiated and non-irradiated patients, with all achieving oral rehabilitation.

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Area of Science:

  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • The mandibular swing approach is increasingly utilized for upper aerodigestive tract malignancies.
  • Limited data exists on its feasibility in patients who have undergone preoperative radiotherapy.

Purpose of the Study:

  • To evaluate the safety and efficacy of the mandibular swing procedure in patients with upper aerodigestive tract malignancies, particularly those with prior radical radiotherapy.
  • To compare complication rates between irradiated and non-irradiated patient groups.

Main Methods:

  • Retrospective analysis of 23 patients undergoing the mandibular swing procedure.
  • Data collection on complication rates and oral rehabilitation outcomes.
  • Comparison of outcomes between patients who received radical preoperative radiotherapy and those who did not.

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Main Results:

  • No statistically significant difference in complication rates was observed between irradiated and non-irradiated patient groups.
  • All 23 subjects achieved successful oral rehabilitation following the procedure.

Conclusions:

  • The mandibular swing procedure is a viable option for managing upper aerodigestive tract malignancies, irrespective of prior radical radiotherapy.
  • The approach demonstrates a favorable safety profile and leads to successful oral rehabilitation in this patient cohort.