PMID: 8387980May 1, 1993Paper

Immediate free flap mandibular reconstruction: significance of adequate surgical margins

Head & Neck
M A SchustermanH Goepfert


The pathologic records of 182 consecutive patients who had mandible resections were reviewed to determine the incidence of positive margins in the bone specimens and the risk factors associated with positive margins. Of the 182 cases reviewed, 82 (45%) were found to have involvement of the mandible at the time of resection and four (2%) were found to have positive margins. The predominant tumor histology was squamous cell carcinoma, 148 of 182 (81%), followed in frequency by osteosarcoma 12 of 182 (7%), salivary gland tumors 13 of 182 (7%), and miscellaneous other tumors (nine of 182 (5%). Of the four tumors with positive margins, two (50%) were squamous cell carcinomas, one (25%) was an osteosarcoma, and one (25%) was a salivary gland tumor. All four tumors were large tumors that had failed to respond to previous therapy. All obviously involved the mandible at the time of presentation. This study demonstrates that the incidence of bone margin involvement after mandibulectomy is rare and predictable and that clinical selection of candidates for immediate reconstruction is reliable in preventing inappropriate use of free bone flaps in patients at risk for positive bone margins.


Dec 1, 1979·Plastic and Reconstructive Surgery·G I TaylorR Corlett
Jul 1, 1986·The Annals of Otology, Rhinology, and Laryngology·L G CloseS D Schaefer
Mar 1, 1986·Head & Neck Surgery·D S Soutar, W P Widdowson
Oct 1, 1985·American Journal of Surgery·B SilverbergR D Acland
Apr 1, 1986·Plastic and Reconstructive Surgery·W M SwartzR Acland
Jun 15, 1983·Cancer·J L ClarkK D Devine

❮ Previous
Next ❯


May 1, 1995·Head & Neck·D D Lydiatt
Apr 5, 2005·Cancer radiothérapie : journal de la Société française de radiothérapie oncologique·F Kolb, M Julieron
May 28, 2005·International Journal of Oral and Maxillofacial Surgery·J BrownD Vaughan
Sep 30, 2003·Current Opinion in Otolaryngology & Head and Neck Surgery·James Brown
Jan 6, 2010·Plastic and Reconstructive Surgery·Christopher Glenn WallaceFu-Chan Wei
Feb 16, 2000·British Journal of Plastic Surgery·F DemirkanC T Liao
Feb 25, 2014·The Journal of Craniofacial Surgery·Emanuele ZavatteroGuglielmo A Ramieri
Sep 10, 2014·The Journal of Craniofacial Surgery·Jin-Wook KimTae-Geon Kwon
Jun 9, 2000·Pediatric Hematology and Oncology·E LydakiM Kalmanti
Oct 25, 2006·Journal of Surgical Oncology·Christiaan SchragFu-Chan Wei
Dec 1, 1996·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·H ReychlerV Brogniez
May 1, 1997·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·R A OrdJ Papadimitrou
Nov 1, 1994·American Journal of Surgery·P LavertuR J Yetman
Nov 12, 2016·Journal of Maxillofacial and Oral Surgery·Batchu Pavan KumarS Ram Mohan
Jan 4, 2017·The Journal of Craniofacial Surgery·Yigit Ozer TiftikciogluTahir Gurler
Mar 23, 2017·The Journal of Craniofacial Surgery·Yigit Ozer TiftikciogluUfuk Bilkay
Jan 8, 2019·The Journal of Craniofacial Surgery·Jung Woo NamHyung Jun Kim
Dec 1, 1995·The Annals of Otology, Rhinology, and Laryngology·K R Cleary, J G Batsakis
Nov 1, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Quentin HennocqPauline Nicol
Jan 7, 2021·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Hemant A Saraiya
Nov 1, 2001·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·A BakerS Parmar

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Squamous Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.