Abstract

1. 1. The extent of the adamantinoma and the patient's previous history provided no alternative but a drastic radical resection of the mandible. 2. 2. The mandibular metallic prosthesis was planned, its contour and method of attachment, etc., anticipated, and its construction entirely processed prior to the operation. 3. 3. To prevent excessive bleeding and secondary hemorrhage (sometimes fatal), the external carotid artery was ligated one week previous to the resection. 4. 4. At the time of resection, and as an integral part of the operation, the metallic prosthesis or artificial jaw was joined and attached to the remaining mandibular segments uniting them into a single functioning unit. It also replaced the removed bony structure. 5. 5. The inserted mandibular section completely prevented the usual facial collapse and other sequelae, and most important, eliminated the usual period of depression following a mandibular resection.

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