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Mandibular reconstruction in the surgical management of head and neck tumors

  • Charles W. Cummings
Part of the Cancer Treatment and Research book series (CTAR, volume 32)

Abstract

Tumor invasion of the mandible presents a virtual mandate for resection of the involved bone. These patients confront the head and neck surgeon with a taxing problem which requires careful assessment of the individual case and the selection of a reconstructive method from a host of options. Removal of the mandible increases the complexity of reconstruction, not only from the standpoint of cosmetic restitution but, in addition, and more importantly, restoration of the essential functions of mastication, alimentation, and articulation. The T-4 oral cavity lesions addressed here are entwined in a complex web of problems. Almost predictably, abuses of smoking and alcohol contribute to the medical and social disturbance. Frequently there is a poor social situation, such as a fragmented home, unemployment, or an absent support group. Suboptimal medical status is to be inspected, along with poor dental hygiene. Other major medical disorders frequently associated with oral cavity cancer include peripheral vascular disease, renal and hepatic disease, in addition to general inanition and malnutrition.

Keywords

Myocutaneous Flap Composite Graft Oral Cavity Cancer Neck Surgeon Spinal Accessory Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Martinus Nijhoff Publishers, Boston 1987

Authors and Affiliations

  • Charles W. Cummings

There are no affiliations available

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