Use of a midline mandibular osteotomy to improve surgical access for transoral robotic resection of the base of tongue in a patient with trismus

Gerald Tay, Jay Ferrell, Peter Andersen

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background: The utilization of transoral robotic surgery (TORS) in patients with trismus is limited because of poor surgical exposure. Methods: This report is about a 46-year-old man with a recurrent right base of tongue cancer who had severe postradiation trismus. We performed a midline mandibular osteotomy without a lip split and this resulted in a markedly improved surgical exposure. He underwent a TORS resection of the right base of the tongue with no significant complications. Results: The midline mandibular osteotomy significantly improved the surgical exposure and facilitated exposure for TORS in a patient who otherwise would not be able to undergo TORS. Conclusion: Utilization of a midline mandibular osteotomy allowed for increased exposure for TORS in a patient with limited mouth opening from postradiation trismus. Postoperative hemorrhage remains a significant concern and appropriate measures to mitigate the catastrophic consequences of this should be considered.

Original languageEnglish (US)
Pages (from-to)E92-E95
JournalHead and Neck
Volume39
Issue number9
DOIs
Publication statusPublished - Sep 1 2017

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Keywords

  • mandibular osteotomy
  • mandibulotomy
  • transoral robotic surgery (TORS)
  • trismus

ASJC Scopus subject areas

  • Otorhinolaryngology

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