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Case Example  Lip Split for Mandibulectomy

 return to: Lip Split with Mandibulotomy Approach for Oral and Pharyngeal Access

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A. A horizontal incision is created in the mental crease approximately 2 cm at midline.  A midline Z is then created as shown.  This is extended superiorly to the vermillion border where a step is created to cross the red lip.  *Please note that the step at the vermilion border in this particular case was performed in the opposite manner secondary to previous surgeries and interventions. 

B: A neck incision is extended down into a crease in the neck to allow for dissection.  A limb may be dropped (dotted line) to provide access to level IV. 

C. Patient on POD #4 following closure.

D. Three month followup