CLINICAL REVIEW CONTROVERSIES IN THE MANAGEMENT OF RETROMOLAR TRIGONE CARCINOMA

Abstract: Our objective is to discuss the current controversies that surround the management of retromolar trigone (RMT) can-cer. We conducted this literature review to discuss trigone can-cer. RTM and anterior pillar cancers should be studied sepa-rately. Preoperative clinical and radiographic assessments need to be further investigated to establish their reliability at predicting bone invasion. In the absence of suspicion of bone invasion, sur-gery and radiotherapy seem to give similar results, but recent reports indicate a greater benefit if they are used in combination. Some authors have advocated systematic segmental resection for all RMT cancers but marginal mandibulectomy is a reasona-ble option in selected cases. Standard treatment for RMT can-cers with N0 necks is selective neck dissection or radiation therapy, depending on the modality of treatment of the pri-mary. Allowing a better understanding of the evolution of RMT cancer and its response to different treatment modalities requires efforts to report different institutional experience wit