L'envahissement mandibulaire dans les tumeurs malignes de voisinage

ABSTRACT

Mandible malignant invasion can be found on various stages of initial tumor evolution, in terms of their localistion Enhassement of bone invasion must be executed in front evry tumor neighbouring the mandible, by a careful clinical examination and a correct radiographic study. The treatment is especially surgical, preceded by chemotherapy and followed by radiotherapy on an "as required" basis. 27 patients among 130, showed evidence mandiblar involvement [20,7%] 14 evaluated by clinical examination; 20 by radiographic evaluation and 3 are suspected by preoperative assesmant. The patients had benefited from a surgical cure mandibular resection with defect had been executed with or none reconstruction