mandibular swing approach

Full Definition

The mandibular swing approach is a surgical technique that involves a paramedian or lateral mandibulotomy to create a hinged mandibular segment, allowing wide exposure of the posterior oral cavity, oropharynx, and skull base. This approach preserves the inferior alveolar nerve when possible and maintains mandibular continuity through rigid fixation after tumor resection. The technique is particularly valuable for accessing large tumors of the tongue base, tonsil, and retromolar trigone while minimizing morbidity compared to composite resection approaches.

In Context

• "The mandibular swing approach provided excellent exposure for the retromolar trigone tumor resection." — Head and neck oncology operative note
• "Postoperative mandibular swing patients require careful monitoring for dental occlusion and nerve function." — Post-surgical care protocol