A subcutaneous mandibulotomy approach for a salivary clear cell carcinoma of the retromolar trigone

Objective: We report a novel subcutaneous mandibulotomy approach for the excision of a rare clear cell carcinoma, not otherwise specified (NOS) of the retromolar trigone. Method: Case reports and a review of the medical literature concerning clear cell carcinoma and subcutaneous mandibulotomy are discussed. Results: A subcutaneous mandibulotomy approach has recently been described for large tumours of the oropharyngeal and parapharyngeal spaces in two series of patients. Clear cell carcinoma, NOS is a rare condition, with few reports in the literature. Conclusion: This is the first occasion a subcutaneous mandibulotomy approach for an oral tumour has been described in Great Britain and Ireland, the second reported case of clear cell carcinoma originating in the retromolar trigone region and only the fourth case of associated lymph nodal metastases.