Home » SurgicalManagement of Oral Pathologic Lesions
TREATMENT OF MAXILLARY SINUSITIS
Early treatment of maxillary sinusitis consists of humidification of inspired air to loosen and aid in the removal of dried secretions from the nasal passage and the sinus ostium. Also required are antibiotics, systemic decongestants, And topically applied congestants to decrease mucosal edema and inflammation and to promote drainage of the sinus through \ts natural opening. On
SURGERICAL MANAGEMENT OF BENEFITLESIONS IN ORL SOFT TISSUSE
Superficial soft tissue lesions of the oral mucosa arc Usually benign and in niost instances lend themselves tu simple surgical removal using biopsy techniques (see Chapter 21), They include fibromas, pyogenic granulomas.
papillomas, peripheral giant cell granulomas, verruca vulgaris; rnucocclcs (i.e .. mucous extravasation phenomena), and epulis Ii
MALIGNANT TUMORS OF THE ORAL CAVITY
Management of the oral cavity may arise from a variety ot tissues, such as salivary gland, muscle, and blood vessels, or may even present as metastases from distant sites, I( sl common, however, are epidermoid carcinomas ot
he oral mucosa.
Treatment Modalities for Malignancies
Malignancies of the oral cavity are treated with surgery, radiation, chemotherapy, or a combination
PRINCIPLES OF SURGICAL MANAGEMENT OF JAW TUMORS
A discussion of the surgical management of jaw tumors is made easier by the fact that many tumors behave similarly and therefore can be treated in a similar manner. The three main modalities of surgical excision of jaw
tumors are (1) enucleation (with or without curettage), (2) marginal (i.e., segmental) or partial resection, and (3) composite resection (Box 22-
SURGICAL MANAGEMENT OF CYSTS AND CYSTLIKE LESIONS OF THE JAWS
Surgical management of oral pathologic lesions can best be discussed by broadly dassifying pathologic lesionsinto the following major categories cysts and cysrlike lesions of the jaws, benign tumors of the jaws, malignant tumors, and benign lesions of oral soft tissues.
If the cyst has not expanded or thinned the cortical plate, normal contour and
Eradication of Pathologic Condition
The therapeutic goal of any extirpative surgical procedure is to remove the entire lesion and leave no cells that. could proliferate and cause a recurrence of the lesion. The methods used to achieve this goal vary tremendously and
depend on the nature of the pathologic condition of the lesion. Excision of an oral carcinoma necessitates an aggressive approach that must sacrif
CHAPTER OUTLINE
BASIC SURGICAL GOALS
Eradication of Pathologic Condition
Functional Rehabilitation of Patient
SURGICAL MANAGEMENT OF CYSTS AND CYSTLIKE
lESIONS OF THE JAWS
Enucleation
Indications
Advantages
Disadvantages
Technique
Marsupialization
Indications
Advantages
Disadvantages
Technique
Enucleation after Marsupialization
Indications
Advantages
Disadvantages
Technique
Enucleation with Curettage
Indications
Ad