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 language | English (US) |
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Pages (from-to) | E92-E95 |
Journal | Head and Neck |
Volume | 39 |
Issue number | 9 |
DOIs | |
State | Published - Sep 2017 |
Externally published | Yes |
Keywords
- mandibular osteotomy
- mandibulotomy
- transoral robotic surgery (TORS)
- trismus
ASJC Scopus subject areas
- Otorhinolaryngology