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The Role of Marginal Mandibulectomy in the Surgical Management of Oral Cancer
Arch Otolaryngol Head Neck Surg. 2002;128:604-605.
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The subject of marginal mandibulectomy in surgical treatment of oral
cancers has been debated in the literature over the past 40 years. Dr Wax
and colleagues have presented a reasonable review of the subject and outlined
the pros and cons of marginal vs segmental mandibulectomy, the rationale behind
choosing the operative procedure, and the reported results in the literature.
In the end, they conclude that a variety of preoperative assessments including
clinical examination, radiological studies, examination under anesthesia,
and intraoperative judgment should be exercised to choose the appropriate
surgical procedure when the mandible is at risk of invasion by cancer.
Figure appears in full text version.
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Jatin P. Shah, MD, MS(Surg), FRACS
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Historically, marginal mandibulectomy was considered for surgical excision
of oral cancer to preserve form and function in those patients whose oral
cancers either approached or superficially eroded the alveolar process of
the mandible. As the nomenclature indicates, this procedure was designed to
obtain margins . . . [Full Text of this Article]
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Clinical Commentary on Marginal vs Segmental Resection of the Mandible
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