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RGUHS Nat. J. Pub. Heal. Sci Vol: 14  Issue: 2 eISSN:  pISSN

Case Report

“Commando surgery” for carcinoma of Retromolar trigone: A Case report with review of literature.

Veeresh. M1 , Mahesh K B2

1Consultant, Bangalore Institute of Oncology. Bangalore. Professor: Department of Oral and Maxillofacial Surgery, Krishnadevaraya College of Dental Sciences, Bangalore.

2 Consultant Surgical Oncologist, . Bangalore Institute of Oncology, Bangalore.

Year: 2012, Volume: 2, Issue: 2, Page no. 109-112,
Views: 748, Downloads: 20
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CC BY NC 4.0 ICON
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0.
Abstract

The term “Commando Surgery” evokes mental images of military battles and heroic soldiers. In its best light, commando surgery can be considered a heroic surgery and that the surgeon is waging a great battle with the evil of cancer. Treatment of cancer involving the retromolar trigone is controversial. While early lesions may be managed with single modality, more advanced lesions may invade the mandible, pterygoid musculature, and the adjacent mucosa of the tonsillar pillar and soft palate, therefore making therapeutic decisions more difficult. We hereby present a case report of a squamous cell carcinoma involving the right retromolar trigone which was addressed by commando operation involving wide excision of the lesion, hemimandibulectomy, radical neck dissection, & reconstruction with pectoralis major myocutaneous flap with the review of literature

<p>The term &ldquo;Commando Surgery&rdquo; evokes mental images of military battles and heroic soldiers. In its best light, commando surgery can be considered a heroic surgery and that the surgeon is waging a great battle with the evil of cancer. Treatment of cancer involving the retromolar trigone is controversial. While early lesions may be managed with single modality, more advanced lesions may invade the mandible, pterygoid musculature, and the adjacent mucosa of the tonsillar pillar and soft palate, therefore making therapeutic decisions more difficult. We hereby present a case report of a squamous cell carcinoma involving the right retromolar trigone which was addressed by commando operation involving wide excision of the lesion, hemimandibulectomy, radical neck dissection, &amp; reconstruction with pectoralis major myocutaneous flap with the review of literature</p>
Keywords
Retromolar trigone, commando surgery, management review
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