A 80 year old male patient presents with a midline tumor of the lower jaw, involving the alveolar margin. He is edentulous. Rx of choice is :
segmental mandibulectomy *Since it is a midline lesion involving the lower jaw treatment is segmental resection of mandible. *Marginal mandibulectomy is not indicated if alveolar margins involved grossly or radiologically. *Hemi-mandibulectomy is not recommended for midline lesion. Note: Segmental resection of anterior arch of mandible result in significant functional and cosmetic deformity called Andy Gump deformity. Immediate reconstruction done with osetomyocutaneous flap or free microvascular bone graft.
Hemi-mandibulectomy
Commando operation
Segmental mandiblectomy
Marginal mandibulectomy