Types of Mandibular Resection
Partial Mandibulectomy This procedure involves the removal of a portion of the mandible. It is typically indicated for localized tumors or lesions that do not necessitate the removal of the entire jawbone. The goal is to preserve as much of the mandible as possible while ensuring complete excision of the affected area.Marginal Mandibulectomy In marginal mandibulectomy, a thin margin of healthy bone is also removed along with the diseased tissue. This technique is often used when there is a need to ensure clear margins around a tumor, thereby reducing the risk of recurrence.Total Mandibulectomy Total mandibulectomy entails the complete removal of the mandible. This extensive procedure is usually reserved for aggressive tumors or significant trauma where reconstruction is necessary to restore function and aesthetics.Composite Resections
Composite resections involve the simultaneous removal of multiple structures in addition to the mandible, such as soft tissue or adjacent bone. This approach is essential in cases where tumors invade surrounding tissues, necessitating a comprehensive surgical strategy to achieve oncological safety while maintaining functional integrity.Reconstruction Techniques
Following mandibular resection, reconstruction is crucial for restoring both form and function. SSMC employs various techniques tailored to individual patient needs:Free Flap Reconstruction
This advanced method uses tissue from another part of the body (such as muscle, skin, or bone) to reconstruct the mandible. The free flap is reconnected to blood vessels in the neck, ensuring adequate blood supply for healing.Plate Reconstruction
In some cases, titanium plates may be used to stabilize the remaining bone structure after resection. This method allows for quicker recovery and less invasive surgery compared to free flap techniques.Prosthetic Options
For patients who undergo total mandibulectomy, prosthetic devices can be utilized to restore oral function and aesthetics. These devices are custom-made and designed to fit comfortably within the patient's mouth.Care of the Critically Ill Surgical Patient (CCrISP) is a two-day, interactive course, which includes mandatory, pre-course e-learning. It covers the practical skills and knowledge that health care professionals need to effectively care for surgical patients, including those who are deteriorating or at risk of doing so.