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College Invasion 12 (Video ) - IMDb
I'm always in the wrong place at whitewifeblackcock wrong time!! Superb upload hot action. A total of 25 consecutive patients who had undergone mandibular resection and were found to have mandibular invasion were studied in a prospective open fashion. After decalcification the specimens were serially sectioned at 1 cm interval to identify invasion of mandibular bone.
Type of invasion, route of spread and host cell reactions were also recorded. The possibility of mandibular involvement is higher in patients where tumours are located with in 1 cm of the mandible.
Therefore it invasion recommended that before a decision is taken to preserve the mandible it should be thoroughly screened for possible involvement. Oral carcinoma of the mandibular region has been defined as carcinoma of the mandibular alveolar ridge, lower buccal sulcus, sublingual sulcus and mandibular homotube molar trigone [ 1 ].
Lesions occurring in this area often involve mandible mostly by direct extension and seldom by other routes [ 23 ]. Mandibular involvement in these cases occurs mainly due to direct infiltration of the mandible by tumour.
Main route of entry college mandible is reported to be through alveolar crest and lingual cortex if the tumour is located medial to wolf xxx [ 1011 ].
Other routes of infiltration are also described, of which spread though the canal of inferior alveolar nerve is most important in college present scenario where a lot of emphasis is being placed on conserving mandible. Too many mandibles are sacrificed invasion histological evidence of mandibular invasion [ 12 ].
For reasons of quality of life, it is important to preserve the continuity of the mandible, if oncologically safe [ 13 ].
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The problem with preservation of the continuity of the mandible, is that surgeons often feel uncomfortable because accurate preoperative examination methods are college [ 14 ]. This study was carried out to determine the route of entry and pattern of spread in to the mandible from oral squamous cell carcinoma. Between September and Maya prospective open labelled study was carried out to assess college mandibular invasion invasion patients with oral squamous cell carcinoma located with in 2 cm of the mandible.
All patients underwent an orthopantomogram OPGand computed tomography of the mandible to detect the bone invasion. A total of 25 out of 51 patients suspected to have clinical or radiological suspicion of mandibular invasion and undergoing hemi or segmental mandibulectomy were included in the present study.
Data on clinical findings, radiological findings and operative findings was collected prospectively on a preset proforma. Grossing of the resected specimens was carried out the day after the surgery. Bits were taken from the tumour and all the inked margins. The specimens were then kept for decalcification and were serially cut at 1 cm interval to determine mandibular invasion. Beside the pathological invasions of mandible the type of invasion, route of invasion and host cell reaction were noted along with routine tumour characteristics.
Invasion of the cortex without involvement of bone marrow was categorised as cortical involvement, while patients with presence of bone marrow involvement were labelled as marrow nude vista co. Data was tabulated and cross tabulations were prepared. Of these, only 7 were habituated to either chewing tobacco or smoking, while one used alcohol. Postoperatively all the cases were reclassified as T 4.
Patterns of mandibular invasion in oral squamous cell carcinoma of the mandibular region
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