Facelift approach for mandibular resection and reconstruction

Background. Mandibular resection is the mainstay in the treatment of several pathologies involving the jaw. When benign lesions are approached, a limited exposure and less invasive access considering the cosmetic outcome is desirable to reduce morbidity and increase patient's quality of life after surgery. The facelift approach is widely used for rhytidectomy, parotidectomy, and facial animation procedures, whereas its use for mandibular resection and reconstruction is not described yet. Methods. Six patients underwent mandibular resection and reconstruction with free flaps or bone grafts via the facelift approach were retrospectively evaluated with regard to function and cosmesis. Results. No impairment of occlusion or facial nerve occurred; mouth opening was normal in 4 patient and partially limited in 2. Cosmesis was assessed as excellent by 3 patients and good in 3. Conclusion. The facelift approach is a valid option for resecting and reconstructing benign lesions involving the mandibular ramus, angle, and posterior body.