Transoral anterior approach using median mandibular splitting in upper spinal tumor extirpation
| Autor: | Kawana Hiromasa, Ogawa Kaoru, Kato Shin, Matsumoto Morio, Koike Akihiko, Nakagawa Taneaki, Iwasaki Ryotaro, Watanebe Kota, Imanishi Yorihisa, Asoda Seiji |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Mandible Pathology and Forensic Medicine Tongue medicine Humans Radiology Nuclear Medicine and imaging Dentistry (miscellaneous) Aged Orthodontics Surgical team Spinal Neoplasms Soft palate medicine.diagnostic_test business.industry Magnetic resonance imaging Surgery medicine.anatomical_structure Spinal tumor Surgical Procedures Operative Orthopedic surgery Female Anterior approach Oral Surgery business |
| Zdroj: | Oral surgery, oral medicine, oral pathology and oral radiology. 114(5) |
| ISSN: | 2212-4411 |
| Popis: | Objective Transoral approach from the anterior direction is necessary if an upper spinal tumor is too big to extirpate via the posterior approach alone. To obtain a good anterior view of the surgical field, the mandible, tongue, and soft palate have to be split, and we developed a criterion to select the surgical strategy. Study Design We indicated a decision-making process of splitting techniques and indications with actual cases and review of literatures. Result Tumors were located from the level of C1 to the lower part of C3. Computerized tomography and magnetic resonance imaging were important to decide approaches. The orthopedic surgical team invited oral and maxillofacial surgeons team to assist in all transoral anterior approach cases. Conclusions Vertical splitting of the mandible, incising the skin of the mental region, and splitting the middle of the tongue were combined according to the position of the spinal tumor. |
| Databáze: | OpenAIRE |
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