THE MANAGEMENT OF MALIGNANT DISEASE OF THE HEAD AND NECK AREA IN EAST AFRICA.
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In general, carcinoma of the lower lip has a good prognosis after radical surgery. In rare cases, however, recurrences may be seen because of spread of the tumour along the mental nerve into the mandible. The earliest symptom of this is pain in the mandible and radiological evidence of widening of the mental foramen. Large resections and reconstructive procedures will be necessary. Three cases are presented.
Squamous cell carcinoma showed perineural spread along the inferior alveolar nerve. Key CT features of this spread were foramen enlargement, resurfacing of tumor, and asymmetry of fat spaces.
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