Evaluating Functional Outcome of Oblique Cut across Mentum in Advanced Oral Squamous Cell Carcinoma
Introduction: Segmental / hemi mandibulectomy is standard for advanced oral Squamous cell cancer. Sometimes the mentum needed to include to achieve an adequate resection. Loss of which often leads to a variety of complications. Evaluation of the functional outcome has been done in those cases whi...
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| Format: | Article |
| Language: | English |
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The Association of Otolaryngologists of India, West Bengal
2024-11-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
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| Online Access: | https://bjohns.in/journal23/index.php/bjohns/article/view/87 |
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| author | Shomes Mozumder Shilpi Agrawal Aniruddha Dam Anup Kumar Bhowmick Ishita Sinha |
| author_facet | Shomes Mozumder Shilpi Agrawal Aniruddha Dam Anup Kumar Bhowmick Ishita Sinha |
| author_sort | Shomes Mozumder |
| collection | DOAJ |
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Introduction:
Segmental / hemi mandibulectomy is standard for advanced oral Squamous cell cancer. Sometimes the mentum needed to include to achieve an adequate resection. Loss of which often leads to a variety of complications. Evaluation of the functional outcome has been done in those cases which were unsuitable for free flap reconstruction so & an oblique cut was placed across mentum & pedicle flap was done instead.
Material and methods:
In this study from 26 December 2022 to 25 March 2023, the effect of oblique cut across mentum in 10 patients of oral SCC were analysed for functional outcome over next 3 months.
Results:
Successful decanulation from tracheostomy tube were achieved in all patients by 6weeks. By 12 weeks Nasogastric tube removal and commencement of oral feeding were achieved in all. Complete oral competency were achieved in all by 12 weeks.
Conclusion:
Mandibular reconstruction is necessary to restore postoperative function. Free flaps remain the first choice. But sometimes the patients’ age, overall health & co- morbidities are not in favour; hence pedicle flaps are needed. Preserving the mentum with clear margin then requires very stringent case selection. This novel approach, in selected cases may solve a lot of functional issues.
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| format | Article |
| id | doaj-art-cfd1e9a477724902a5116de9a785779c |
| institution | Kabale University |
| issn | 2395-2393 2395-2407 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj-art-cfd1e9a477724902a5116de9a785779c2025-02-11T09:43:25ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-23932395-24072024-11-0132110.47210/bjohns.2024.v32i1.87Evaluating Functional Outcome of Oblique Cut across Mentum in Advanced Oral Squamous Cell CarcinomaShomes Mozumder0 Shilpi Agrawal1 Aniruddha Dam2Anup Kumar Bhowmick3 Ishita Sinha4Chittaranjan National Cancer Institute. 37 S.P Mukherjee Road. Kolkata-700026Chittaranjan National Cancer Institute. 37. S.P Mukherjee Road. KOLKATA- 700026Chittaranjan National Cancer Institute. 37. S.P Mukherjee Road. KOLKATA- 700026Chittaranjan National Cancer Institute. 37. S.P Mukherjee Road. KOLKATA- 700026Chittaranjan National Cancer Institute. 37. S.P Mukherjee Road. KOLKATA- 700026 Introduction: Segmental / hemi mandibulectomy is standard for advanced oral Squamous cell cancer. Sometimes the mentum needed to include to achieve an adequate resection. Loss of which often leads to a variety of complications. Evaluation of the functional outcome has been done in those cases which were unsuitable for free flap reconstruction so & an oblique cut was placed across mentum & pedicle flap was done instead. Material and methods: In this study from 26 December 2022 to 25 March 2023, the effect of oblique cut across mentum in 10 patients of oral SCC were analysed for functional outcome over next 3 months. Results: Successful decanulation from tracheostomy tube were achieved in all patients by 6weeks. By 12 weeks Nasogastric tube removal and commencement of oral feeding were achieved in all. Complete oral competency were achieved in all by 12 weeks. Conclusion: Mandibular reconstruction is necessary to restore postoperative function. Free flaps remain the first choice. But sometimes the patients’ age, overall health & co- morbidities are not in favour; hence pedicle flaps are needed. Preserving the mentum with clear margin then requires very stringent case selection. This novel approach, in selected cases may solve a lot of functional issues. https://bjohns.in/journal23/index.php/bjohns/article/view/87Oral squamous cell cancer- oral sccHemi- mandibulectomySegmental- mandibulectomyMentumPedicle flapFree flap |
| spellingShingle | Shomes Mozumder Shilpi Agrawal Aniruddha Dam Anup Kumar Bhowmick Ishita Sinha Evaluating Functional Outcome of Oblique Cut across Mentum in Advanced Oral Squamous Cell Carcinoma Bengal Journal of Otolaryngology and Head Neck Surgery Oral squamous cell cancer- oral scc Hemi- mandibulectomy Segmental- mandibulectomy Mentum Pedicle flap Free flap |
| title | Evaluating Functional Outcome of Oblique Cut across Mentum in Advanced Oral Squamous Cell Carcinoma |
| title_full | Evaluating Functional Outcome of Oblique Cut across Mentum in Advanced Oral Squamous Cell Carcinoma |
| title_fullStr | Evaluating Functional Outcome of Oblique Cut across Mentum in Advanced Oral Squamous Cell Carcinoma |
| title_full_unstemmed | Evaluating Functional Outcome of Oblique Cut across Mentum in Advanced Oral Squamous Cell Carcinoma |
| title_short | Evaluating Functional Outcome of Oblique Cut across Mentum in Advanced Oral Squamous Cell Carcinoma |
| title_sort | evaluating functional outcome of oblique cut across mentum in advanced oral squamous cell carcinoma |
| topic | Oral squamous cell cancer- oral scc Hemi- mandibulectomy Segmental- mandibulectomy Mentum Pedicle flap Free flap |
| url | https://bjohns.in/journal23/index.php/bjohns/article/view/87 |
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