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Mandibular involvement in oral cancer

Published online by Cambridge University Press:  29 June 2007

Sudhir Bahadur*
Affiliation:
New Delhi, India
*
Department of E.N.T., All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.

Abstract

It is difficult to predict the tumour invasion into the mandible by oral cancer pre-operatively, and consequently the decision to preserve or sacrifice the mandible is largely individualistic. The present study of 44 cases analyses the reliability of pre-operative parameters to assess mandibular involvement. Clinical, radiological and scintigraphic features have been compared with the detailed histology of the bone. This study confirms the usefulness of superior marginal resections in lesions which are close to but not involving the mandible, as well as for superficial lesions which are actually seen to involve the mandible but their CT and bone scans are negative for tumour invasion.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1990

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References

Baker, D. L. (1982) Evaluation of bone scan by scintigraphy to detect subclinical invasion of the mandible by cancer of oral cavity. Otolaryngology–Head Neck Surgery, 90: 327336.Google Scholar
Greer, D. B., Smith, R. R., Klopp, C. J. (1953) A surgical method of treatment of carcinoma of the floor of the mouth. Surgery, 34: 279287.Google ScholarPubMed
DeSanto, L. W., Whicker, J. H., Devine, K. D. (1975) Mandibular osteotomy and lingual flap. Use in patients with cancer of the tonsil and tongue base. Archives of Otolaryngology, 101: 652.CrossRefGoogle ScholarPubMed
Kremen, A. J. (1953) Cancer of the tongue Surgery, 30: 227–287.Google Scholar
Gilbert, S., Tzadik, A., Lenod, G., Farmington, C. F. (1986) Mandibular involvement by oral squamous cell carcinoma. Laryngoscope, 96: 96101.CrossRefGoogle ScholarPubMed
Marchetta, F. C., Sako, K., Badillo, J. (1964) Periosteal lymphatics of the mandible and intra oral carcinoma. American Journal of Surgery, 108: 505507.CrossRefGoogle Scholar
Marchetta, F. C., Sako, K., Murphy, J. B. (1971) The periosteum of the mandible and intra oral carcinoma. American Journal of Surgery, 122: 711713.CrossRefGoogle Scholar
McGreger, A. D., MacDonald, D. G. (1988) Routes of entry of squamous cell carcinoma to the mandible. Head and Neck Surgery 294301.CrossRefGoogle Scholar
Pangopoulas, A. P. (1959) Bone involvement in maxillo facial cancer. American Journal of Surgery, 105: 651667.Google Scholar
Slaughter, E. D., Roeser, E. H., Smejkal, (1949) Excision of mandible for neoplastic disease. Surgery, 26: 507522.Google Scholar
Ward, R. M., Calcaterra, T. C. (1983) Lower alveolar carcinoma. Archieves of Otolaryngology, 109: 578582.Google Scholar
Weisman, R. A., Kimmelman, C. P. (1982) Bone scanning in assessment of mandibular invasion by oral cancer. Laryngoscope, 92: 14.CrossRefGoogle Scholar