{"title":"Cheek-Splitting Transbuccal Approaches to the Posterior Region of the Oral Cavity for Cancer Resection.","authors":"Masataka Uehara, Takeshi Nishikawa","doi":"10.1097/SCS.0000000000011215","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The intraoral approach for resection of oral cancer in a posterior site is insufficient for exposing the entire lesion and/or allowing the surgical device to resect it cleanly. Therefore, an extraoral approach is required for safe resection of the lesion. The cheek-splitting transbuccal approach (CSTBA) technique allows the surgeon to reach the posterior side of the oral cavity. The authors propose here 2 types of CSTBAs-inferior and superior-and the application of these approaches in 7 cases.</p><p><strong>Patients and methods: </strong>Inferior CSTBA was applied in 6 cases for marginal mandibulectomy. Superior CSTBA was applied in only one case of early cancer in the root of the tongue.</p><p><strong>Results: </strong>The tumor was resected safely in all cases. During follow-up, subsequent lymph adenopathy was detected in 2 cases.</p><p><strong>Conclusion: </strong>Two types of CSTBAs were useful for resection of oral cancer in a posterior site without compromising the integrity of the submandibular region, where lymph nodes are located.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0000,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Craniofacial Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/SCS.0000000000011215","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: The intraoral approach for resection of oral cancer in a posterior site is insufficient for exposing the entire lesion and/or allowing the surgical device to resect it cleanly. Therefore, an extraoral approach is required for safe resection of the lesion. The cheek-splitting transbuccal approach (CSTBA) technique allows the surgeon to reach the posterior side of the oral cavity. The authors propose here 2 types of CSTBAs-inferior and superior-and the application of these approaches in 7 cases.
Patients and methods: Inferior CSTBA was applied in 6 cases for marginal mandibulectomy. Superior CSTBA was applied in only one case of early cancer in the root of the tongue.
Results: The tumor was resected safely in all cases. During follow-up, subsequent lymph adenopathy was detected in 2 cases.
Conclusion: Two types of CSTBAs were useful for resection of oral cancer in a posterior site without compromising the integrity of the submandibular region, where lymph nodes are located.
期刊介绍：
The Journal of Craniofacial Surgery serves as a forum of communication for all those involved in craniofacial surgery, maxillofacial surgery and pediatric plastic surgery. Coverage ranges from practical aspects of craniofacial surgery to the basic science that underlies surgical practice. The journal publishes original articles, scientific reviews, editorials and invited commentary, abstracts and selected articles from international journals, and occasional international bibliographies in craniofacial surgery.
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