Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제47권3호
  • /
  • Pages.216-223
  • /
  • 2021
  • /
  • 2234-7550(pISSN)
  • /
  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지
DOI QR코드

DOI QR Code

Sequential treatment from mandibulectomy to reconstruction on mandibular oral cancer - Case review II: mandibular anterior and the floor of the mouth lesion of basaloid squamous cell carcinoma and clear cell odontogenic carcinoma

  • Yang, Jae-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Hwang, Dae-Seok (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Kim, Uk-Kyu (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
  • 투고 : 2020.09.29
  • 심사 : 2020.12.11
  • 발행 : 2021.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Preoperative patient analysis for oral cancer involves multiple considerations that are based on multiple factors; these include TNM stages, histopathologic findings, and adjacent anatomical structures. Once the decision is made to excise the lesion, the margin of dissection and its extent should be considered along with the best form of reconstruction and airway management. Treatment methods include surgical resection, radiotherapy, and chemotherapy. Although the combined method of treatment is controversial, surgical resection is considered predominantly, and immediate reconstruction after surgical resection follows. The choice of treatment is dictated by the anticipated functional and esthetic results of treatment and also by the availability of a surgeon with the required expertise. Segmental mandibulectomy with primary reconstruction has been shown to have advantages in both functional and esthetic results. A 52-year-old male patient with basaloid squamous cell carcinoma of the floor of the mouth, and the anterior portion of the mandible was treated with surgical procedures that included segmental mandibulectomy with both supraomohyoid neck dissection (SOHND) at Levels I-III and mandible reconstruction with a left fibula free flap. A 55-year-old male patient with clear cell odontogenic carcinoma of the oral cavity underwent segmental mandibulectomy with both SOHND at Levels I-III and mandible reconstruction with a left fibula free flap. The purpose of this study was to review the anatomic and functional results of patients after immediate reconstruction with a fibula free flap following resection of carcinoma in the anterior portion of the mandible and floor of the mouth.

키워드

과제정보

This study was supported by National Research Foundation of Korea and funded by the Korea government (No. 2019R1F1A1042528).

참고문헌

  1. Candia J, Fernandez A, Kraemer K. Survival and mortality from oral cancer by anatomical location. A narrative review. J Oral Res 2016;5:35-42. https://doi.org/10.17126/joralres.2016.007
  2. Sankaranarayanan R. Oral cancer in India: an epidemiologic and clinical review. Oral Surg Oral Med Oral Pathol 1990;69:325-30. https://doi.org/10.1016/0030-4220(90)90294-3
  3. Wu S, Han J, Li WQ, Li T, Qureshi AA. Basal-cell carcinoma incidence and associated risk factors in U.S. women and men. Am J Epidemiol 2013;178:890-7. https://doi.org/10.1093/aje/kwt073
  4. Woods TR, Cohen DM, Islam MN, Kratochvil FJ, Stewart JC, Reeder SL, et al. Intraoral basal cell carcinoma, a rare neoplasm: report of three new cases with literature review. Head Neck Pathol 2014;8:339-48. https://doi.org/10.1007/s12105-013-0505-5
  5. Koutlas IG, Koch CA, Vickers RA, Brouwers FM, Vortmeyer AO. An unusual ostensible example of intraoral basal cell carcinoma. J Cutan Pathol 2009;36:464-70. https://doi.org/10.1111/j.1600-0560.2008.01059.x
  6. Kim M, Cho E, Kim JY, Kim HS, Nam W. Clear cell odontogenic carcinoma mimicking a cystic lesion: a case of misdiagnosis. J Korean Assoc Oral Maxillofac Surg 2014;40:199-203. https://doi.org/10.5125/jkaoms.2014.40.4.199
  7. Ebert CS Jr, Dubin MG, Hart CF, Chalian AA, Shockley WW. Clear cell odontogenic carcinoma: a comprehensive analysis of treatment strategies. Head Neck 2005;27:536-42. https://doi.org/10.1002/hed.20181
  8. Shah JP, Gil Z. Current concepts in management of oral cancer--surgery. Oral Oncol 2009;45:394-401. https://doi.org/10.1016/j.oraloncology.2008.05.017
  9. Erdmann D, Giessler GA, Bergquist GE, Bruno W, Young H, Heitmann C, et al. [Free fibula transfer. Analysis of 76 consecutive microsurgical procedures and review of the literature]. Chirurg 2004;75:799-809. German. https://doi.org/10.1007/s00104-004-0833-9
  10. Wallace CG, Chang YM, Tsai CY, Wei FC. Harnessing the potential of the free fibula osteoseptocutaneous flap in mandible reconstruction. Plast Reconstr Surg 2010;125:305-14. https://doi.org/10.1097/PRS.0b013e3181c2bb9d
  11. Harjani B, Singh RK, Pal US, Singh G. Locking v/s non-locking reconstruction plates in mandibular reconstruction. Natl J Maxillofac Surg 2012;3:159-65. https://doi.org/10.4103/0975-5950.111371
  12. Park HK, Kim TS, Geum DH, Yoon SY, Song JM, Hwang DS, et al. Mandibular intraosseous squamous cell carcinoma lesion associated with odontogenic keratocyst: a case report. J Korean Assoc Oral Maxillofac Surg 2015;41:78-83. https://doi.org/10.5125/jkaoms.2015.41.2.78