Modified mandibulotomy approach to tumors of the oropharynx

The surgical approach to tumors in the deep oral cavity, oropharynx, and pa rapharyngeal space has always been a problem. Midline mandibulotomy for exp osure and resection of tumors in these areas is usually essential. However, postoperatively accurate and stable reconstruction of the symphysis is dif ficult. The authors present a modified notch mandibulotomy in a trapezoidal shape to stabilize the symphysis with only a four-hole miniplate. This sha pe of the osteotomy reduces the time to return to an unrestricted diet and permits more accurate occlusion.