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Fascial sling suspension of the chin following resection of the anterior mandible
Author(s) -
Norante John D.,
Mccabe Brian F.
Publication year - 1973
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-197303000-00003
Subject(s) - sling (weapon) , chin , medicine , mandible (arthropod mouthpart) , resection , fascia lata , surgery , soft tissue , anatomy , botany , biology , genus
One of the most vexing problems in oncologic surgery of the head and neck is the morbidity imposed by resection of the anterior portion of the mandible. Reconstruction of this area most commonly involves the use of autogenous bone grafts. This technique is not universally applicable and is sometimes met with failure. This is especially true where the patient has received prior radiation therapy and where resection of bone and soft tissue has been extensive. The authors have found that a continuous sling of fascia lata suspended from the zygomatic arches and threaded subcutaneously through the lower lip provides adequate support for the chin in cases where osseous reconstruction is not feasible. This technique has been used successfully in three patients.