Abstract

ROLE OF MARGINAL MANDIBULECTOMY VS SEGMENTAL MANDIBULECTOMY – A REVIEW

Himanshu Thukral*, Deepak Singh, Jyotish Saikia, Rohini Kanitkar, Suman Yadav, Praveen Kumar Singh

ABSTRACT

A mandibulectomy is the removal of all or part of the mandible (jawbone). This is required when a tumor approaches or invades the jawbone. Segmental mandibulectomy has traditionally been the mainstay of surgical therapy for oral squamous cell carcinoma adjacent to or invading the mandible and is the “gold standard” against which all other operations must be compared. Its advantages include adequate margins of resection, excellent exposure, and ease of closure, often without the need for soft tissue flaps. However, the functional and cosmetic consequences of this procedure are devastating to the patient. Marginal mandibulectomy can be employed to remove a tumor that involves only periosteum or cortical bone. This review aims to discuss about in detail about types of mandibulectomy and their indications.

Keywords: Mandibulectomy, segmental, marginal, oral cancer.