A modified pull-through approach with a pedicled bone flap for oral and oropharyngeal cancer resection: a feasibility study.

ABSTRACT:

Purpose

Compromised swallowing, speaking, and local complications are the major disadvantages of established approaches to the posterior tongue and oropharynx. The mandibular split involves an esthetically unpleasant bipartition of the lower lip and is prone to bony non-union or sequestration. The conventional pull-through technique on the other hand lacks the secure reattachment of the lingually released soft tissues.

Methods

The feasibility of a new modified pull-through approach was tested on three anatomical specimens. CAD/CAM cutting guides were used to design a retentive bone flap to properly refixate the genioglossus and geniohyoid muscles after the procedure. The radiographic assessment and treatment planning was performed on 12 cadavers. The entire procedure was tes

SUBMITTER: Neckel N 

PROVIDER: S-EPMC10960749 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature