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Modified facelift approach for posterior segmental mandibulectomy: a blend of oncology and cosmesis

Abstract

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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Author information

Correspondence to Vishal Rao.

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Conflict of interest

No conflict of interest amongst authors and all authors have contributed towards the article.

Ethical standards

IRB approval was not obtained as the results presented here are not part of a formal study. The treatment was as per the institutional treatment guidelines and recommended global guidelines.

Informed consent

Informed consents and consent to publish were obtained from all patients.

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Rao, V., Subash, A., Sinha, P. et al. Modified facelift approach for posterior segmental mandibulectomy: a blend of oncology and cosmesis. Eur Arch Otorhinolaryngol (2020) doi:10.1007/s00405-020-05793-3

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Keywords

  • Modified facelift approach
  • Neck dissection
  • Minimal access surgery
  • Oral cancers
  • Mandibulectomy