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Burton F. Jaffe, MD

Arch Otolaryngol. 1971;93(3):275-279.

Abstract
The oral-cutaneous stoma should be considered in two situations: (1) in the patient who has received radiation therapy for a large floor of the mouth cancer, but who then requires a composite resection including the lateral portion of the mandible and more than 50% of the oral tongue (past the midline); and (2) in the patient who requires resection of the anterior arch of the mandible and in whom an immediate mandibular prosthesis is desired to prevent severe cosmetic deformity. The decision to create the stoma should be made in advance of the operation so that adequate operative planning and execution may reduce the morbidity and mortality associated with attempts at primary closure. Immediate prosthesis will minimize the cosmetic deformity.

Author Affiliations
Ann Arbor, Mich

From the Department of Otorhinolaryngology, University of Michigan, Ann Arbor, and the Veterans Administration Hospital, Ann Arbor. Dr. Jaffe is now with the Department of Otolaryngology, Beth Israel Hospital and Department of Otolaryngology, Children's Hospital Medical Center, Boston.

Footnotes
Accepted for publication July 27, 1970.

Read before the 12th annual meeting of the American Society for Head and Neck Surgery, Hollywood, Fla, April 23, 1970.

Reprint requests to Department of Otolaryngology, Beth Israel Hospital, Boston 02115 (Dr. Jaffe).

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