Studies on mandibular resections and immediate reconstructive surgery for carcinoma of the tongue and floor of mouth.

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The management of mandible following surgery for carcinoma of the tongue and floor of mouth, and post operative course of the mandible were discussed in this article.<BR>The management of the mandible was classified into four groups: 1. complete mandible conservation, 2. marginal resection, 3. segmental resection and 4. immediate reconstruction of the mandible following segmental resection.<BR>Infection or resorption of the transplanter occurred frequently in the cases where the mandibles were reconstructed immediately by transplantation of iliac bone. It was concluded that marginal resection of the mandible made much better prognosis of conservation of the mandibular function and prevention of post operative infection. By the cases which indicated immediate reconstruction of mandibular defect, it was considered that replantation of the mandible or reconstruction using vascularized bone segment such as iliac crest or rib produced good results.
社団法人日本口腔外科学会の論文