Median Mandibulotomy

👉By placing the site of the mandibulotomy in the anterior midline, all the disadvantages of a lateral mandibulotomy are avoided.

  • However, splitting the mandible in the anterior midline:
    • Requires extraction of one central incisor tooth to avoid exposure of the roots of both central incisor teeth, which are at risk of extrusion:
      • Extraction of one central incisor tooth to avoid this situation alters the aesthetic appearance of the lower dentition.
  • In addition, a midline mandibulotomy requires division of muscles arising from the genial tubercle:
    • That is, the geniohyoid and genioglossus, leading to a delayed recovery of the functions of mastication and swallowing:
      • Therefore a median mandibulotomy also is not preferred for these reasons.

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

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s