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. 2021 Apr 2;73(2):252–256. doi: 10.1007/s12070-021-02535-7

Table 2.

Comparison of surgical approaches for middle and posterior third tongue

Per oral rescection Mandibulotomy. mandibular swing Pull through MLRA
Access to lesion Difficult Easy Difficult Easy
Lip split, facial scarring and labial asymmetry No Yes No No
Mental nerve damage and labial anesthesia No May be No No
Access to posterior margin and deep tongue Very difficult Easy Very difficult Good
Damage to inner mucoperiosteum No No No Yes
Blood loss during surgery More More More More
Fistulae rate More More More Less
Malunion or non-union of the osteotomy site No Yes No No
Chances of mandibular osteo radionecrosis Less More Less More
Flap suturing Very difficult Very easy Very difficult Easy