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Oral Cancer

, Volume 2, Issue 3–4, pp 91–96 | Cite as

Subcranial craniotomy in surgical management of advanced oral cavity malignancies: a technical note

  • Hamsa Nandini
  • Kiran Mariswamappa
  • Naveen Hedne
  • Srikamakshi Kothandaraman
  • Akanksha Saxena
  • Vijay Pillai
  • Vivek Shetty
  • R. Vidyabhushan
  • Komal Prasad
  • Moni Abraham Kuriakose
Original Article
Part of the following topical collections:
  1. Clinical Research

Abstract

Purpose

Craniofacial resection is the technique of choice for tumors of the oral cavity or paranasal sinus extending close to the skull base of middle cranial fossa. Here we would like to describe a new technique of approaching these tumors through the facial incision itself.

Methods

All patients treated with this technique at our institute were included in this retrospectively analyzed case series. The pathological clearance margins, complications and outcomes were studied.

Results

A total of nine patients underwent resection of tumor with the subcranial approach. There were seven males and two female patients. Mean age was 50.66 years (22–72 years). The diagnosis was squamous cell carcinoma in five patients, adenoid cystic carcinoma in three patients and alveolar soft part sarcoma in one patient. A lip split incision and mandibulotomy/mandibulectomy was done in seven patients; a Weber–Fergusson incision was used in one patient and details were not available in one other patient. Reconstruction was done with anterolateral thigh flaps with or without titanium mesh for all the patients. One patient developed thalamic infarct and was managed conservatively. None of the other patients had complications related to the craniotomy. The infratemporal fossa margin was close/involved in two patients (22.22%). Eight patients received adjuvant therapy without delay. One patient, who had received radiation previously, did not receive adjuvant radiation.

Conclusions

This technique aims to reduce morbidity without compromising on the oncological outcomes for tumors extending short of or up to the skull base.

Keywords

Infratemporal fossa carcinoma Craniofacial resection T4b oral cancer Peri neural spread Carcinoma buccal mucosa Carcinoma maxilla 

Notes

Funding

No funding was received for the conduct of this study.

Compliance with ethical standards

Conflict of interest

Hamsa Nandini declares that she has no conflict of interest. Kiran Mariswamappa declares that he has no conflict of interest. Naveen Hedne declares that he has no conflict of interest. Srikamakshi Kothandaraman declares that she has no conflict of interest. Akanksha Saxena declares that she has no conflict of interest. Vijay Pillai declares that he has no conflict of interest. Vivek Shetty declares that he has no conflict of interest. Vidyabhushan R declares that he has no conflict of interest. Komal Prasad declares that he has no conflict of interest. Moni Abraham Kuriakose declares that he has no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Hamsa Nandini
    • 1
  • Kiran Mariswamappa
    • 2
  • Naveen Hedne
    • 3
  • Srikamakshi Kothandaraman
    • 4
  • Akanksha Saxena
    • 5
  • Vijay Pillai
    • 3
  • Vivek Shetty
    • 3
  • R. Vidyabhushan
    • 3
  • Komal Prasad
    • 2
  • Moni Abraham Kuriakose
    • 6
  1. 1.Halamma Kerudi Cancer HospitalBagalkotIndia
  2. 2.Department of NeurosurgeryMazumdar-Shaw Medical CenterBangaloreIndia
  3. 3.Department of Head and Neck OncologyMazumdar-Shaw Medical CenterBangaloreIndia
  4. 4.Cancer Institute (WIA)ChennaiIndia
  5. 5.Department of Surgical OncologyRajiv Gandhi Cancer InstituteDelhiIndia
  6. 6.Department of Surgical OncologyMazumdar-Shaw Medical CenterBangaloreIndia

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