Mandibulotomy (approach)
Considerations
Anatomy
Mandible thickness (2002: Mandibular Thickness Measurements in Young Dentate Adults), mean (SD)
symphysis
14.03 (1.53) mm for men
13.21 (1.46) mm for women
halfway between the symphysis and the mental nerve
11.17 (1.37) mm for men
10.00 (1.08) mm for women
Range of approaches to the oropharynx
Transoral
True Transoral
Mandibulotomy
Mandibulectomy
Transcervical
Pull-through
Pharyngotomy
Laryngotomy
Laryngectomy
Combinations
Incision style
Dr. W prefers midline straight skin incision and paramedian straight vertical osteotomy through root of either central or lateral incisor
In the neck, continue the midline mental skin incision into the midline neck and either curve into a neck crease or turn into the neck crease at a right angle
Preparation
Procedure
Sample operative report
Post-op
CPT codes
21198 -