Head & Neck Silo

Mandibulectomy & Maxillectomy Resection

Composite bone and tissue clearances for invasive gingivobuccal and hard palate squamous cell carcinomas.

CLINICAL ONCOLOGY PORTAL

Surgical Clearance Protocol

This protocol details the clinical parameters, resection boundaries, and anatomical checkpoints managed during the procedure. The priority is achieving R0 (microscopically negative) margins while preserving surrounding neural and vascular structures.

Procedural Stages

Staging CT scans to assess cortical bone invasion.
Segmental or marginal mandibulectomy based on bone infiltration parameters.
Partial or total maxillectomy tracking structural palatal margins.
Vascularized osteocutaneous free-flap reconstruction preparation.

Clinical Citations & E-E-A-T Reference

ACADEMIC LOG

This procedure complies with international oncology benchmarks (NCCN/ESMO) and is informed by peer-reviewed studies published by Dr. Gurupreet Singh Gill:

Journal of Surgical Oncology (J Surg Oncol) - END in Hard Palate & Upper Gingiva (DOI: 10.1002/jso.25891 →)

Surgical Benchmarks

Clearance Goal: R0 Resection
Frozen Section: Intraoperative Verification
Systemic Care: Adjuvant Multidisciplinary Review