Mandible-Preserving Alternatives

Part of the Head and Neck Cancer Clinics book series (HNCC)


The importance of an intact mandibular arch for functional and aesthetic reasons can hardly be overemphasized. Invasion of the mandible by intraoral carcinoma often necessitates its surgical removal. Central mandibular defects, in particular, result in severe cosmetic disfigurement and functional impairment [1]. For almost a century before the pioneering work of Marchetta, even uninvolved mandibles were resected routinely as part of a commando operation for their possible involvement by subperiosteal lymphatics [2]. Marchetta proposed that the mandible was invaded by direct extension [2].


Oral Cancer Buccal Mucosa Mandibular Reconstruction Transcervical Approach Posterior Tongue 
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Copyright information

© The Author(s)  2012

Authors and Affiliations

  • K. Alok Pathak
    • 1
  • Rehan Kazi
    • 2
  • Richard W. Nason
    • 3
  1. 1.Head and Neck Surgical Oncology, CancerCare Manitoba, Department of SurgeryUniversity of ManitobaWinnipegCanada
  2. 2.Head and Neck CancerManipal UniversityManipalIndia
  3. 3.Department of Surgery, Faculty of MedicineUniversity of ManitobaWinnipegCanada

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