Vertical ramus compartment resection of the mandible for deeply invasive tumors

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
R H Blanchaert, R A Ord

Abstract

Vertical ramus compartment resection of the mandible is indicated in the management of pathology that originates in the ascending ramus or condyle of the mandible and invades the pterygomaxillary fossa, infratemporal space, parapharyngeal space, masseter muscle, or medial pterygoid muscle. This article describes the technique, presents a review of the relevant literature, and reports the outcome of five cases. A retrospective review of all cases operated on by the senior author (R.A.O.) over the last 5 years at the University of Maryland was performed. The records of these cases were reviewed to identify patient sex, age, pathologic diagnosis, use of adjuvant therapy, and status after resection. Five surgical cases in which a vertical ramus compartment resection of the mandible was necessary were identified. The histologic diagnoses of these five cases were as follows: grade II chondrosarcoma, peripheral neuroectodermal tumor, high-grade central mucoepidermoid carcinoma, invasive squamous cell carcinoma, and odontogenic keratocyst. Four of the five patients are alive and well at follow-up of 16 to 43 months. The only death occurred in a 70-year-old man with squamous cell carcinoma that recurred intracranially by local extension...Continue Reading

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Citations

Sep 15, 2005·International Journal of Oral and Maxillofacial Surgery·B SimşekO Günhan
Feb 28, 2006·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Yadranko DucicAllison T Pontius
Jan 26, 2010·Acta otorrinolaringológica española·Sergio ObesoCarlos Suárez
Mar 5, 2004·Clinical Imaging·Giorgio BernasconiMassimo Bellomi
Jun 18, 2010·Revue de stomatologie et de chirurgie maxillo-faciale·H ChemliM Abdelmoula
Oct 23, 2008·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Yi LiJian Pan
Aug 6, 1999·Journal of Chemotherapy·T Cutilli, A Corbacelli
Mar 23, 2021·Head and Neck Pathology·Tatiane Fonseca FaroJosé Rodrigues Laureano Filho

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