By Charles Staley (Editor), John E. Skandalakis (Editor), Sean Moore William C. Wood (Editor)
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Additional info for Anatomic Basis of Tumor Surgery, 2nd Edition
Dissection is carried out in a superior to inferior and anterior to posterior direction. For peroral resections, dissection is kept superﬁcial to the superior constrictor muscle. If this muscle is involved with tumor, it should be resected. Since this muscle constitutes the medial border of the parapharyngeal space, which contains the great vessels and lower cranial nerves, resection of this area should be performed in combination with a neck approach for lateral exposure. After the surgical specimen is removed, it is oriented with sutures for the pathologist.
Malignant neoplasms of the oral cavity. In: Cummings CW, Fredrickson JM, Harker LA, editors. Otolaryngology – head and neck surgery. 2nd ed. Mosby: St Louis; 1993. p. 1248–305 This extensive chapter provides a thorough presentation of the anatomy of the oral cavity, incidence and presentation of oral cavity tumors, and treatment options, including reconstructive considerations. Bernier J, Domenge C, Ozsahin M, Matuszewska K, Lefebvre JL, Greiner RH, et al Postoperative irradiation with or without concomitant chemotherapy for locally advanced head and neck cancer.
A 1 cm cuff of ﬂoor of mouth mucosa should be preserved laterally for ease of closure at the end of the procedure. The submandibular duct oriﬁce should be included with the mandibular segment. The deep incision is carried through the ﬂoor of mouth musculature, separating the muscular sling from the mandible. This allows signiﬁcant distraction of the mandibular segments. 39 The lingual and hypoglossal nerves should be identiﬁed and preserved if possible. The mucosal incision can be carried superiorly along the anterior tonsillar pillar to include the tonsil or extended up onto the soft palate to access the superior parapharyngeal space.