Transoral anterior approach using median mandibular splitting in upper spinal tumor extirpation

Hiromasa Kawana, Shin Kato, Seiji Asoda, Koike Akihiko, Iwasaki Ryotaro, Morio Matsumoto, Koota Watanabe, Imanishi Yorihisa, Kaoru Ogawa, Taneaki Nakagawa

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: Transoral approach from the anterior direction is necessary if an upper spinal tumor is too big to extirpate via the posterior approach alone. To obtain a good anterior view of the surgical field, the mandible, tongue, and soft palate have to be split, and we developed a criterion to select the surgical strategy. Study Design: We indicated a decision-making process of splitting techniques and indications with actual cases and review of literatures. Result: Tumors were located from the level of C1 to the lower part of C3. Computerized tomography and magnetic resonance imaging were important to decide approaches. The orthopedic surgical team invited oral and maxillofacial surgeons team to assist in all transoral anterior approach cases. Conclusions: Vertical splitting of the mandible, incising the skin of the mental region, and splitting the middle of the tongue were combined according to the position of the spinal tumor.

Original languageEnglish
JournalOral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Volume114
Issue number5
DOIs
Publication statusPublished - 2012 Nov

Fingerprint

Mandible
Tongue
Soft Palate
Neoplasms
Orthopedics
Decision Making
Tomography
Magnetic Resonance Imaging
Skin
Direction compound
Oral and Maxillofacial Surgeons

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Pathology and Forensic Medicine
  • Radiology Nuclear Medicine and imaging
  • Dentistry (miscellaneous)

Cite this

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title = "Transoral anterior approach using median mandibular splitting in upper spinal tumor extirpation",
abstract = "Objective: Transoral approach from the anterior direction is necessary if an upper spinal tumor is too big to extirpate via the posterior approach alone. To obtain a good anterior view of the surgical field, the mandible, tongue, and soft palate have to be split, and we developed a criterion to select the surgical strategy. Study Design: We indicated a decision-making process of splitting techniques and indications with actual cases and review of literatures. Result: Tumors were located from the level of C1 to the lower part of C3. Computerized tomography and magnetic resonance imaging were important to decide approaches. The orthopedic surgical team invited oral and maxillofacial surgeons team to assist in all transoral anterior approach cases. Conclusions: Vertical splitting of the mandible, incising the skin of the mental region, and splitting the middle of the tongue were combined according to the position of the spinal tumor.",
author = "Hiromasa Kawana and Shin Kato and Seiji Asoda and Koike Akihiko and Iwasaki Ryotaro and Morio Matsumoto and Koota Watanabe and Imanishi Yorihisa and Kaoru Ogawa and Taneaki Nakagawa",
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T1 - Transoral anterior approach using median mandibular splitting in upper spinal tumor extirpation

AU - Kawana, Hiromasa

AU - Kato, Shin

AU - Asoda, Seiji

AU - Akihiko, Koike

AU - Ryotaro, Iwasaki

AU - Matsumoto, Morio

AU - Watanabe, Koota

AU - Yorihisa, Imanishi

AU - Ogawa, Kaoru

AU - Nakagawa, Taneaki

PY - 2012/11

Y1 - 2012/11

N2 - Objective: Transoral approach from the anterior direction is necessary if an upper spinal tumor is too big to extirpate via the posterior approach alone. To obtain a good anterior view of the surgical field, the mandible, tongue, and soft palate have to be split, and we developed a criterion to select the surgical strategy. Study Design: We indicated a decision-making process of splitting techniques and indications with actual cases and review of literatures. Result: Tumors were located from the level of C1 to the lower part of C3. Computerized tomography and magnetic resonance imaging were important to decide approaches. The orthopedic surgical team invited oral and maxillofacial surgeons team to assist in all transoral anterior approach cases. Conclusions: Vertical splitting of the mandible, incising the skin of the mental region, and splitting the middle of the tongue were combined according to the position of the spinal tumor.

AB - Objective: Transoral approach from the anterior direction is necessary if an upper spinal tumor is too big to extirpate via the posterior approach alone. To obtain a good anterior view of the surgical field, the mandible, tongue, and soft palate have to be split, and we developed a criterion to select the surgical strategy. Study Design: We indicated a decision-making process of splitting techniques and indications with actual cases and review of literatures. Result: Tumors were located from the level of C1 to the lower part of C3. Computerized tomography and magnetic resonance imaging were important to decide approaches. The orthopedic surgical team invited oral and maxillofacial surgeons team to assist in all transoral anterior approach cases. Conclusions: Vertical splitting of the mandible, incising the skin of the mental region, and splitting the middle of the tongue were combined according to the position of the spinal tumor.

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