Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 3 Issue 8

Transoral and Extraoral Approaches for Benign Tumors of the Jaws. Which One to Use and When?

Nicolás Solano, Paulina Gutiérrez, Jaime Jiménez, Ana Villarroel*, Ejusmar Rivera and Luis Herrera

Oral Surgery Post-Graduated Program, School of Dentistry, Universidad del Zulia, Venezuela

*Corresponding Author: Ana Villarroel, Oral Surgery Post-Graduated Program, School of Dentistry, Universidad del Zulia, Venezuela.

Received: June 02, 2021; Published: July 05, 2021

Abstract

Purpose: To create an algorithm for the selection of the ideal approach for benign tumors of the jaws based on the authors’ experience and a literature review.

Patients and Methods: A retrospective study was performed, including patients treated for the surgical resection of benign tumors of the jaws at the Oral and Maxillofacial Surgery Unit of the University Hospital of Maracaibo, Venezuela between January 2016 and March 2020. Approach selection criteria were divided into major and minor.

Results: A total of 28 patients were included in the study, from the studied tumors, ameloblastoma (53.57%) and ossifying fibroma (21.42%), were the most common pathologies; 21 cases were treated using a transoral approach (75%) and 7 cases were treated with an extraoral approach (25%). There were complications in 5 cases (17.85%), from these complications, 4 of them occurred in patients treated with a transoral approach (14.28%) and 1 occurred in patients treated with extraoral approaches (3.57%).

Conclusion: Selection of a proper approach for benign tumors of the jaws is very scarce, many factors should be taken into account in order to choose the proper approach that allows the total elimination of the lesion as well as the subsequent reconstruction of the defect, minimizing the aesthetic and functional consequences.

Keywords: Approach; Tumors; Jaws; Transoral; Extraoral

References

  1. McHugh J. “Mandible and Maxilla”. Rosai and Ackerman's Surgical Pathology 11 (2018): 212.
  2. Santosh R and Ogle O. “Odontogenic Tumors”. Dental Clinics of North America 64 (2020): 121.
  3. Harris C and Laughlin R. “Bening tumors of the jaws”. Oral and Maxillofacial Surgeons (2015): 415.
  4. Dabholkar JP., et al. “Benign jaw tumors”. The Indian Journal of Otolaryngology and Head and Neck Surgery 61 (2009): 240.
  5. Marx R. “Oral and maxillofacial pathology: a rationale for diagnosis and treatment 2nd Edition (2014).
  6. Ringer E and Kolokythas A. “Bone Margin Analysis for Benign Odontogenic Tumors”. Oral and Maxillofacial Surgery Clinics of North America 29 (2017): 293.
  7. Carlson E. “Surgical Management of Odontogenic Tumors”. Journal of Oral and Maxillofacial Surgery (2005): 63.
  8. Scarfe W., et al. “Imaging of Benign Odontogenic Lesions”. Radiologic Clinics of North America 56 (2018): 45.
  9. Koenig LJ. “Imaging of the jaws”. Seminars in Ultrasound, CT and MRI 36 (2015): 407.
  10. Mosier KM. “Lesions of the jaw”. Seminars in Ultrasound, CT and MRI 36 (2015): 444.
  11. Bharatha A., et al. “Pictorial essay: cysts and cyst-like lesions of the jaws”. The Canadian Association of Radiologists Journal 61 (2010): 133.
  12. Robinson RA. “Diagnosing the most common odontogenic cystic and osseous lesions of the jaws for the practicing pathologist”. Modern Pathology 30 (2017): 96.
  13. Baldasserini G., et al. “Epidemiological profile of ameloblastoma affected patients subjected to surgery at a tertiary hospital in the state of Sao Paulo”. Revista Odontológica Mexicana 22 (2018): 82.
  14. França LJ., et al. “Ameloblastoma demographic, clinical and treatment study: analysis of 40 cases”. Brazilian Journal of Otorhinolaryngology 78 (2012): 38.
  15. Ellis E and Zide M. “Surgical Approaches to the Facial Skeleton 2nd Edition (2008).
  16. Shirani G., et al. “Immediate reconstruction of a large mandibular defect of locally invasive benign lesions (a new method)”. The Journal of Craniofacial Surgery 18 (2007): 1422.
  17. Omeje K., et al. “Management of Odontogenic Fibromyxoma in Pediatric Nigerian Patients: A Review of 8 Cases”. Annals of Medical and Health Science Research (2015): 11.
  18. Vargas G., et al. “Tratamiento de los ameloblastomas”. Revista Mexicana de Cirugía Bucal y Maxilofacial 6 (2010): 66.
  19. Ogihara H., et al. “Risk factors of postoperative infection in head and neck surgery”. Auris Nasus Larynx 36 (2009): 457.
  20. Horan TC., et al. “CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections”. American Journal of Infection Control 20 (1992): 271.
  21. Yang CH., et al. “Surgical site infections among high-risk patients in clean-contaminated head and neck reconstructive surgery”. Annals of Plastic Surgery 71 (2013): 55.
  22. Yao CM., et al. “Surgical site infections following oral cavity cancer resection and reconstruction is a risk factor for plate exposure”. Journal of Otolaryngology - Head and Neck Surgery 46 (2017): 30.

Citation

Citation: Ana Villarroe., et al. “Transoral and Extraoral Approaches for Benign Tumors of the Jaws. Which One to Use and When?".Acta Scientific Otolaryngology 3.8 (2021): 02-08.

Copyright

Copyright: © 2021 Ana Villarroe., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In







News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US