Reseksi En Bloc

Rumartha PS
 Definition
En Bloc Resection or Marginal Resection
Marginal mandibulectomy can be defined as any removal of a
portion of the mandible that does not result in a segmental
defect
Indications and Contraindications
Figure 15.1 Drawing of mucosal incisions.
FIGURE 15.2
A: Diagram of dental
extractions and osteotomies
for anterior lesions.
B: Osteotomies are made in
the extraction sites;
C,D: Diagrams of osteotomies
for lateral lesions.
FIGURE 15.3 A: Drawing of
cheek flap
approach and lateral
marginal mandibulectomy;
B: Specimen of bone and
soft tissue
removed en bloc.
 Complications
Fracture is the most common complication
Another complication is failure to recognize
more extensive mandibular involvement (in
other words, poor patient selection), which
should warrant segmental mandibulectomy
 References
Ferris,Robert. Larynx, Hypopharynx,
Oropharynx, Oral Cavity and Neck. Master
Techniques in Otolaryngology - Head and Neck
Surgery Vol 1 2013;15:127-133