AI Article Synopsis

  • The study introduces a new surgical method called the "trans-facial" approach for accessing and removing small retromolar trigone (RMT) lesions without needing larger procedures like free tissue transfer.
  • Eight patients with small tumors underwent this technique, showing positive outcomes with no major post-operative complications and effective cancer control.
  • The results suggest that this approach offers a practical and effective option for treating small RMT lesions with good recovery rates.

Article Abstract

Introduction: Early retromolar trigone (RMT) lesions are difficult to access and free tissue transfer is often an overkill for such small lesions. The aim was to devise a novel surgical approach that would aid the resection without raising a cheek flap and simultaneously provide a local reconstructive option for small lesions in the RMT.

Methodology: This study was to demonstrate the outcomes of the "trans-facial" approach used to simultaneously access and reconstruct small RMT tumors through an islanded nasolabial flap. Patients with histologically proven squamous cell carcinoma of RMT requiring surgery were included from January 2021 to September 2022. Case selection was done based on the location of the disease and its size (cT1/T2). All needed bone and soft tissue resection via per oral trans-facial approach, along with an ipsilateral neck dissection. The technique is described along with their post-operative and pathologic outcomes.

Results: Out of the eight patients included in this study, six underwent a bi-alveolar marginal resection and reconstructed using the trans-facial approach. No major complications were noted in the post-operative period. 50% were pT1 tumors and 75% were pN0 status. One patient had a close margin; while, the others had adequate resection margins. All patients were followed up for a median of 18 months with a locoregionally controlled status.

Conclusion: The trans-facial approach can be a suitable option with a reasonable oncologic outcome to address small RMT lesions.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11303610PMC
http://dx.doi.org/10.1007/s12663-024-02226-0DOI Listing

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