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Reconstruction of the segmental mandibular defect using a retroauricular or modified face-lift incision with an intraoral approach in head and neck cancer

 Won Shik Kim  ;  Tatsanachat Jittreetat  ;  Woong Nam  ;  Pakdee Sannikorn  ;  Eun Chang Choi  ;  Yoon Woo Koh 
 Acta Oto-Laryngologica, Vol.135 : 500-506, 2015 
Journal Title
 Acta Oto-Laryngologica 
Issue Date
Adult ; Bone Transplantation/methods ; Carcinoma, Squamous Cell/diagnostic imaging ; Carcinoma, Squamous Cell/surgery* ; Chondrosarcoma, Mesenchymal/diagnostic imaging ; Chondrosarcoma, Mesenchymal/surgery* ; Ear, External/surgery ; Endoscopy/methods* ; Female ; Humans ; Imaging, Three-Dimensional ; Male ; Mandibular Osteotomy/methods* ; Mandibular Reconstruction/methods* ; Middle Aged ; Otorhinolaryngologic Neoplasms/diagnostic imaging ; Otorhinolaryngologic Neoplasms/surgery* ; Retrospective Studies ; Rhytidoplasty/methods* ; Robotic Surgical Procedures/methods* ; Surgical Flaps/surgery ; Tomography, X-Ray Computed
Mandibular reconstruction ; fibular free flap ; modified face-lift approach ; retroauricular approach
CONCLUSIONS: This is the first report of mandibular reconstruction using the retroauricular (RA) or the modified face-lift (MFL) approach in head and neck cancer. This approach may have advantages over the conventional approach, especially in its superior aesthetic results. OBJECTIVE: The fibular osseous or osteocutaneous free flap is a widely accepted option for the reconstruction of mandibular defects. Recently, we devised an RA or an MFL approach for neck dissection (ND) using an endoscopic or robotic surgical system. Here, we performed the reconstruction of a segmental mandibular defect with a fibular free flap using the RA or the MFL approach. METHODS: A total of five patients underwent mandibular reconstruction with the RA or MFL approach for mandibular discontinuity, which developed after the surgical extirpation of head and neck cancer. We performed ND, segmental mandibulectomy, and the reconstruction of the mandibular defect via RA or MFL incisions. RESULTS: An osseous free flap was used for the reconstruction in two patients and the osteocutaneous free flap was used in three patients. The mean operation times for mandibulectomy and ND were 82 (range 45-120) min and 156 (range 140-180) min, respectively. No significant complications were noted. All flaps survived successfully.
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1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
고윤우(Kho, Yoon Woo)
김원식(Kim, Won Shik)
남웅(Nam, Woong) ORCID logo https://orcid.org/0000-0003-0146-3624
최은창(Choi, Eun Chang)
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