Lip Split Mandibulotomy: Advancements and Clinical Applications in Oral and Maxillofacial Surgery

Abstract

Introduction: Lip-split mandibulotomy approach (LSMA) is an access technique used in head and neck (H&N) surgery to allow for the surgical excision of tumors that are inaccessible in the posterior oral cavity and oropharynx. Complications of LSMA include, mal- or non-union, infection, wound dehiscence, oro-cutaneous fistula, malocclusion, and plate exposure. This series case report aims to demonstrate LSMA as a surgical method.

Methods: We present three tumor cases in which one sublingual benign tumor case with size 9 cm, and two malignant sublingual tumor cases with size 3 cm and 5 cm strained the surrounding tissue.

Results and Discussion: The patient underwent tumor excision using a Lip Split Mandibulotomy surgical technique, The increased viewing field facilitates easier and more effective tumor removal. Around the work area, there was no critical organ injury or bleeding issues, and in all cases, scars is among the issue that have emerged.

Conclusions: Lip Split Mandibulotomy can be employed as applicable surgical technique to achieve optimal access to surgery, so it allow the surgeon treated the mass effectively, otherwise some complications can occur post operative such as fistule and dehiscence, so optimal wound care should performed in collaboration between surgeon and patient.

Keywords: Lip split, Mandibulotomy, Tumor