Management of large oral tumours by mandibular swing and myocutaneous flap

Median mandibulotomy with mandibular swing combined with immediate reconstruction by a myocutaneous flap has been carried out in 11 patients with large intraoral tumours. Mandibular swing appeared to achieve better local control and caused less problems in resection of these T3 and T4 tumours compared to lateral mandibulotomy. The use of a myocutaneous pectoral flap instead of a deltopectoral skin flap reduced the need for reintervention and abolished that for delayed reconstruction. The combined approach also reduced the time of hospitalization.