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 |