ISSN 2398-2942      

Mandibulectomy

icanis

Introduction

  • Mandibulectomy performed for surgical treatment of neoplasia involves resection of lower jaw bone with surrounding soft tissue in order to accomplish margins free of tumor cells.
  • Various mandibulectomy procedures are possible:
    • Partial resection of the mandible on one or both sides (unilateral or bilateral rostral mandibulectomy and partial mandibular body resection).
    • Resection of one entire mandible (total mandibulectomy).
    • Resection of one entire mandible and a portion of the mandible on the other side.
    • Resection of the mandibular ramus or a portion of it.

Uses

  • Neoplasia affecting the lower jaw (ie one or both mandibles and adjacent soft tissues).
  • Jaw fractures involving a rostral segment.

Advantages

  • Curative surgery in the case of neoplasia.
  • Simple solution for jaw fracture management in select cases.
  • Bilateral rostral mandibulectomy to the level of the first premolars provides good function and esthetics. Resection of the mandibular symphysis causes the two remaining mandibular sections to ‘float,’ which is functionally and esthetically acceptable.

Disadvantages

  • Bilateral resection caudal to the mandibular symphysis results in progressively greater problems with tongue and saliva retention, eating, drinking, and grooming.
  • Shifting of the opposite mandible toward the site of surgery in select cases (impinging of mandibular teeth onto hard palate mucosa).

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Greatly depending on the reason for mandibulectomy (neoplasia versus trauma), tumor location and extent, operator skill, (in)complete resection, and presence/absence of metastasis.

Further Reading

Publications

Refereed papers

Other sources of information

  • Lewis J R (2015) Oral tumors, benign. In:Clinical Veterinary Advisor, Dogs and Cats. Cote E. 3rd edn. St. Louis: Elsevier, pp 725-727.
  • Lewis J R (2015) Oral tumors, malignant. In: Clinical Veterinary Advisor, Dogs and Cats. Cote E. 3rd edn. St. Louis: Elsevier, pp 727-730.

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