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1. Introduction
2. Supraomohyoid Neck Dissection
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a. Incision
b. Platysma Flap Elevation
c. Posterior Elevation of the Neck Dissection
d. Anterior Border of the SCM
e. Dissection Level 2B
f. Dissection Level 2A and 3 Along the IJ Vein
g. Dissection on Level 1B on the Submandibular Region
h. Dissection of the Carotid Sheath
i. Dissection on Level 1A Anteriorly
j. Elevation of the Fibrofatty Tissue of the Strap Muscles
k. Dissection on Level 1B
l. Retraction of the Submandibular Gland Exposing the Lingual Nerve
m. Removal of the Specimen
n. Confirmation of Hemostasis
o. Confirmation of the Nerves' Integrity
p. Specimen Orientation on the Back Table
q. Drain Placements and Wound Closure
3. Excision of Squamous Cell Carcinoma from the Right Posterior Maxilla
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a. Surgical Approach and Marking
b. Injection with Local Anesthesia
c. Beginning of Circumferential Dissection Around the Tumor
d. Extraction of Premolar Tooth Located Along the Linear Margin
e. Dissection of the Greater Palatine
f. Removal of the Soft Tissue Component of the Tumor
g. Orientation of the Soft Tissue
h. Specimens for Frozen Section
i. Posterior Partial Maxillectomy
j. Buccal Fat Pad Advancement for Repair
k. Suturing of Buccal Fat Pad
4. Immediate Surgical Obturator Placement and Adjustments
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a. Addition of the Soft Tissue Reliner
b. Call with Pathologist
c. Obturator Fixation to Adjacent Teeth
5. Post-op Remarks
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Treatment of Squamous Cell Carcinoma from the Posterior Maxilla with Obturator Placement and Ipsilateral Neck Dissection
Daniel Oreadi, DMD
Tufts University
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Oral and Maxillofacial Surgery (OMFS)
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Authors
Daniel Oreadi, DMD
Filmed At:
Tufts University
Article Information
Publication Date
N/A
Article ID
321
Production ID
0321
Volume
N/A
Issue
321
DOI
https://doi.org/10.24296/jomi/321