Mandibular swing procedure for surgical resection of advanced oropharyngeal carcinoma
Xie, J.; Dong, P.; Jin, B.; Li, K-yong.; Wang, J.; Tu, L-qiang.; Zhang, J.
Zhonghua Zhong Liu Za Zhi 29(4): 302-304
2007
ISSN/ISBN: 0253-3766 PMID: 17760261 Document Number: 608035
Objective To explore a better approach to resect the advanced oropharyngeal carcinoma. Methods From 1995 to 2005, 17 patients underwent mandibular swing procedure for excision of advanced oropharyngeal carcinoma including: 13 tonsillar cancers, 2 soft palate carcinomas and 2 lingual root cancers. Surgical procedure was selected according to the lesion. All tumors were resected through the mandibular swing approach or its combined approaches. Immediate reconstruction of the surgical defect was done using tongue flap, pectoralis major myocutaneous flap, stemohyoid myofascial flap, temporalis myofascial flap and forehead flap, respectively. After surgical resection of the tumors, all patients received postoperative radiotherapy. Results All patients' advanced oropharyngeal carcinoma were successfully resected as planned through the mandibular swing procedure or its combined procedures without severe complications. Functions of deglutition, respiration and speech were well restored. The 3- and 5-year survival rate was 54.5% and 40%, respectively. Conclusion The mandibular swing procedure and its combined approach is safe and effective in the surgical resection of the advanced oropharyngeal carcinoma, which can provide a good exposure for the oropharynx, supraglottic region, hypopharynx, the parapharyngeal space and the base of the skull.