Median Mandibulotomy

ūüĎČBy 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

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