commando surgery pdf
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Plz mail me ur file as I need to present this procedure to my classmates.
Thanks!
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#2

The COMMANDO Operation or COMMANDO Procedure (COMbined MANDibulectomy and Neck Dissection Operation) is a complicated operation for 1st degree malignancy of the tongue.[1] It comprises glossectomy (total removal of the tongue) and hemimandibulectomy together with block dissection of the cervical nodes. The operation is so named because of its extensive nature.

Commando is the acronym used for combined mandibulectomy and neck dissection operation.

It was an operation that was originally described for cancers or tumors of the oropharynx (for example, the back of the tongue or the tonsil). Later it is also came to be used to describe similar surgeries for oral cavity cancers, such as the tongue and cheek.

A commando is a surgery where there is removal of the primary tumor along with a segment of the jaw bone, along with and in conjunction with the lymph nodes of that side of neck, all as one continuous block of tissue (en bloc).

The unusual name ‘commando’ surgery came into being during the second world war. The intensive team work which was seen in commando operations in the war was likened to the radical surgery of mandibular resection that was at that time being practised and perfected, and so the name was coined.

Since the name Commando connotes risk, the newer name of ‘composite resection’ is used more often these days. For example ‘ buccal mucosa composite resection’ is when a cheek cancer is removed along with the jaw bone.

A composite resection is a commonly done procedure for advanced oral and oropharyngeal cancers. It is a supra-major procedure. It takes anywhere between 5 and 8 hours, sometimes more, according to the resection and reconstruction that is being done.
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