Rapid analysis of mandibular margins
- 1 May 1995
- journal article
- research article
- Published by Wiley in The Laryngoscope
- Vol. 105 (5) , 475-477
- https://doi.org/10.1288/00005537-199505000-00004
Abstract
Evaluating surgical margins during composite resection of carcinoma is limited by analysis of the bone margins. The standard pathologic evaluation of bone is by decalcification. A method of analysis was devised based on histologically proven methods of cortical invasion and subsequent spread. Frozen section analysis (FSA) of the cancellous bone was investigated as a rapid method of evaluating adequacy of the mandibular resection. Subjects consisted of 29 patients undergoing full-thickness mandibular resection, with 16 cases of histologically proven mandibular invasion qualifying for evaluation. Results of FSA were then compared to the permanent section analysis of the cancellous bone and to the decalcified specimen. Complete correlation was found between frozen and permanent section results. Frozen section analysis was able to correctly predict adequacy of resection in 32 (97%) of 33 margins.Keywords
This publication has 8 references indexed in Scilit:
- DentaScan™: A new diagnostic method for evaluating mandibular and maxillary pathologyThe Laryngoscope, 1992
- Mandibular involvement by squamous cell carcinoma of the lower alveolus: Analysis and comparative study of histologic and radiologic featuresHead & Neck, 1991
- Evaluation of Mandibular Tumor Invasion With Magnetic Resonance ImagingJAMA Otolaryngology–Head & Neck Surgery, 1990
- Routes of entry of squamous cell carcinoma to the mandibleHead & Neck Surgery, 1988
- Spread of squamous cell carcinoma to the nonirradiated edentulous mandible—A preliminary reportHead & Neck Surgery, 1987
- Computed Tomography in the Assessment of Mandibular Invasion by Intraoral CarcinomaAnnals of Otology, Rhinology & Laryngology, 1986
- Mandibular involvement by oral squamous cell carcinomaThe Laryngoscope, 1986
- Bone scanning in the assessment of mandibular invasion by oral cavity carcinomasThe Laryngoscope, 1982