Median / Midline Mandibulotomy

Rodrigo Arrangoiz MS, MD, FACS, FSSO

👉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 #Doctor #Teacher #Surgeon #CancerSurgeon #HeadandNeckSurgeon #SurgicalOncologist #HeadandNeckCancer #OralCavityCancer #PharyngealCancer #MSMC #BCCC #MountSinaiMedicalCenter #BramanComprehensiveCancerCenter #Mexico #Miami

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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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