Gross photographs demonstrating the difference between marginal mandibulectomy
and segmental mandibulectomy.
A marginal mandibulectomy can be reconstructed with local flaps or skin graft, whereas a segmental mandibulectomy requires an osteocutaneous flap.
Reconstruction of the marginal mandibulectomy defect: an update.
The patient subsequently underwent right marginal mandibulectomy with 5 mm surgical margin via transcervical route utilizing a customized cutting guide for guidance of osteotomy (Figure 4(a)).
Spriano, "Marginal mandibulectomy in oral cancer surgery: a 13-year experience," European Archives Otorhinolaryngology, vol.
Due to huge size of the mass, it was treated with combined marginal mandibulectomy
for better exposure enabling complete surgical removal.
Emami, "Posterior marginal mandibulectomy in the management of cancer of the oral cavity and oropharynx," Otolaryngology--Head and Neck Surgery, vol.
Pinsolle, "Posterior marginal mandibulectomy for cancer of the oral cavity and oropharynx.
Segmental or marginal mandibulectomy
was performed in all 10 patients, and the PMF was used successfully to cover exposed bone or reconstructive plates in each case.
Later the tumor was resected by our operating team under general anaesthesia followed by a routine marginal mandibulectomy
and the specimen was sent again in-toto for histopathological examination.
Five patients (62%) had a marginal mandibulectomy
, 1 required segmental mandibulectomy and 1 required partial pharyngectomy.
A marginal mandibulectomy
extending from left of midline to right midbody was performed in continuity with the tumor.