DOUBLE MANDIBULAR OSTEOTOMY - A SINGE-CENTRE STUDY
Authors:
Solon Politis1, Georgios Chatziantoniou1, Asterios Antoniou1, Theodoros Grivas1, Georgios Trellopoulos2, Aggelos Megalopoulos2, Konstantinos Paraskevopoulos1, Konstantinos Vachtsevanos1
Affiliation:
1 Department of Oral and Maxillofacial Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece
2 Department of Angiosurgery, General Hospital G. Papanikolaou, Thessaloniki, Greece
Doi: 10.54936/haoms242p96
ABSTRACT:
Objectives: The double mandibular osteotomy, as a surgical mode to access the deeper neck tissues adjacent to the carotid sheath and up to the skull base, is a method that in the researchable literature appears not more than 50 years. Ours’ clinic case series confirms that this surgical approach is mandatory for the treatment of parapharyngeal tumours and other neck medical conditions.
Materials and Methods: Our study group consists of 11 patients, where 10 of them finally were treated by using the surgical technique of the double mandibulotomy, during the last 6 years.
Results: The females, were the 7 of our patients, and the mean age of the study sample was 47,9 years old. The main causes of the double mandibulotomy process were 54,54% for parapharyngeal tumours and 18,18% for deeper lobe parotid tumours. The reference of the patients to our clinic was due to an incidental radiologic finding for a percentage of 27,27. The mean lesion measures was 4,68 cm. The long-term uneventful follow up revealed a 90% score. The 60% of the procedures necessitated the cooperation with a non oral and maxillofacial specialty surgeon.
Conclusion: The double mandibular osteotomy is an essential way to treat deeper neck surgical lesions and medical conditions. It may has to be executed by a multidisciplinary surgical team and a statutory head and neck surgical centre is essential. Our case series could be a useful addition to the literature data.
KEY WORDS:
Authors:
Solon Politis1, Georgios Chatziantoniou1, Asterios Antoniou1, Theodoros Grivas1, Georgios Trellopoulos2, Aggelos Megalopoulos2, Konstantinos Paraskevopoulos1, Konstantinos Vachtsevanos1
Affiliation:
1 Department of Oral and Maxillofacial Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece
2 Department of Angiosurgery, General Hospital G. Papanikolaou, Thessaloniki, Greece
Doi: 10.54936/haoms242p96
ABSTRACT:
Objectives: The double mandibular osteotomy, as a surgical mode to access the deeper neck tissues adjacent to the carotid sheath and up to the skull base, is a method that in the researchable literature appears not more than 50 years. Ours’ clinic case series confirms that this surgical approach is mandatory for the treatment of parapharyngeal tumours and other neck medical conditions.
Materials and Methods: Our study group consists of 11 patients, where 10 of them finally were treated by using the surgical technique of the double mandibulotomy, during the last 6 years.
Results: The females, were the 7 of our patients, and the mean age of the study sample was 47,9 years old. The main causes of the double mandibulotomy process were 54,54% for parapharyngeal tumours and 18,18% for deeper lobe parotid tumours. The reference of the patients to our clinic was due to an incidental radiologic finding for a percentage of 27,27. The mean lesion measures was 4,68 cm. The long-term uneventful follow up revealed a 90% score. The 60% of the procedures necessitated the cooperation with a non oral and maxillofacial specialty surgeon.
Conclusion: The double mandibular osteotomy is an essential way to treat deeper neck surgical lesions and medical conditions. It may has to be executed by a multidisciplinary surgical team and a statutory head and neck surgical centre is essential. Our case series could be a useful addition to the literature data.
KEY WORDS: