Paramedian Madibulotomy

Rodrigo Arrangoiz MS, MD, FACS, FSSO

👉A paramedian mandibulotomy, avoids all the disadvantages of a lateral mandibulotomy and the sequelae of a midline mandibulotomy.

👉A paramedian mandibulotomy offers significant advantages:

  • Wide exposure to the surgical field.
  • Preservation of the geniohyoid and genioglossus muscles:
    • Leading to preservation of:
      • The hyomandibular complex.
  • The only muscle requiring division is the mylohyoid muscle:
    • Which leads to minimal swallowing difficulties.
  • A paramedian mandibulotomy does not cause denervation or devascularization of the skin of the chin or the teeth and mandible.
  • Fixation at the mandibulotomy site is easy, and the site of the mandibulotomy does not fall within the lateral portal of radiation therapy if the patient needs postoperative radiotherapy:
    • Thus at present a paramedian mandibulotomy remains an optimal surgical approach for access to posteriorly located larger lesions of the oral cavity and tumors of the oropharynx and parapharyngeal space.

#Arrangoiz #Teacher #Surgeon #CancerSurgeon #HeadandNeckSurgeon #SurgicalOncologist #OralCavityCancer #PharyngealCancer

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Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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