Transoral and Extraoral Approaches for Benign Tumors of the Jaws. Which One to Use and When?
Nicolás Solano, Paulina Gutiérrez, Jaime Jiménez, Ana Villarroel,
Ejusmar Rivera and Luis Herrera
Journal Title:Acta Scientific Otolaryngology
Purpose: To create an algorithm for the selection of the ideal approach for benign tumors of the jaws based on the authors’ experi-
ence and a literature review.
Patients and Methods: A retrospective study was performed, including patients treated for the surgical resection of benign tumors
of the jaws at the Oral and Maxillofacial Surgery Unit of the University Hospital of Maracaibo, Venezuela between January 2016 and
March 2020. Approach selection criteria were divided into major and minor.
Results: A total of 28 patients were included in the study, from the studied tumors, ameloblastoma (53.57%) and ossifying fibroma
(21.42%), were the most common pathologies; 21 cases were treated using a transoral approach (75%) and 7 cases were treated
with an extraoral approach (25%). There were complications in 5 cases (17.85%), from these complications, 4 of them occurred in
patients treated with a transoral approach (14.28%) and 1 occurred in patients treated with extraoral approaches (3.57%).
Conclusion: Selection of a proper approach for benign tumors of the jaws is very scarce, many factors should be taken into account
in order to choose the proper approach that allows the total elimination of the lesion as well as the subsequent reconstruction of the
defect, minimizing the aesthetic and functional consequences.
Keywords: Approach; Tumors; Jaws; Transoral; Extraoral