Oral cancer surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
===Surgery=== | ===Surgery=== | ||
* | *Surgical resection of full extent of lesion of the oral cavity should be done. | ||
**If regional nodes are positive, [[cervical]] node dissection is usually done in continuity. | **If regional nodes are positive, [[cervical]] node dissection is usually done in continuity. | ||
**Surgeons ablate large posterior oral cavity tumors using reconstructive methods so that satisfactory functional results can be achieved. | **Surgeons ablate large posterior oral cavity tumors using reconstructive methods so that satisfactory functional results can be achieved.<ref name="pmid27841120">{{cite journal |vauthors=Kerawala C, Roques T, Jeannon JP, Bisase B |title=Oral cavity and lip cancer: United Kingdom National Multidisciplinary Guidelines |journal=J Laryngol Otol |volume=130 |issue=S2 |pages=S83–S89 |year=2016 |pmid=27841120 |pmc=4873943 |doi=10.1017/S0022215116000499 |url=}}</ref> | ||
**Prosthodontic rehabilitation is | **Prosthodontic rehabilitation is done after surgical resection. | ||
*[[Tumor]] resection | * If oral cancer is detected early, before it has metastasized then surgical resection is done. | ||
*Mohs micrographic surgery | * Advanced-stage and recurrent cancers: | ||
*Full or partial [[mandible]] resection | ** Surgery is done in combination with [[radiation therapy]], [[chemotherapy]] or targeted therapy. | ||
*Glossectomy | * Surgical excision of the tumor is usually recommended if the tumor is small enough, and if surgery is likely to result in a functionally satisfactory result. | ||
*Maxillectomy | * Depending on the stage of oral cancer, one or more of the following procedures is recommended: | ||
*[[Laryngectomy]] | **[[Tumor]] resection | ||
*[[Neck dissection]] | **Mohs micrographic surgery | ||
*Partial or selective neck dissection | **Full or partial [[mandible]] resection | ||
*Modified radical neck dissection | **Glossectomy | ||
*Radical neck dissection | **Maxillectomy | ||
**[[Laryngectomy]] | |||
**[[Neck dissection]] | |||
**Partial or selective neck dissection | |||
**Modified radical neck dissection | |||
**Radical neck dissection | |||
===Other Surgical Procedures for Oral Cancer=== | ===Other Surgical Procedures for Oral Cancer=== | ||
*Pedicle or free flap reconstruction | *Pedicle or free flap reconstruction | ||
*[[Tracheostomy]] | *[[Tracheostomy]] | ||
*[[Gastrostomy]] tube | *[[Gastrostomy]] tube | ||
*Dental extraction and implants | *Dental extraction and implants | ||
==References== | ==References== | ||
Revision as of 19:15, 8 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
Surgery is the mainstay of treatment for oral cancer.
Surgery
Surgery
- Surgical resection of full extent of lesion of the oral cavity should be done.
- If oral cancer is detected early, before it has metastasized then surgical resection is done.
- Advanced-stage and recurrent cancers:
- Surgery is done in combination with radiation therapy, chemotherapy or targeted therapy.
- Surgical excision of the tumor is usually recommended if the tumor is small enough, and if surgery is likely to result in a functionally satisfactory result.
- Depending on the stage of oral cancer, one or more of the following procedures is recommended:
- Tumor resection
- Mohs micrographic surgery
- Full or partial mandible resection
- Glossectomy
- Maxillectomy
- Laryngectomy
- Neck dissection
- Partial or selective neck dissection
- Modified radical neck dissection
- Radical neck dissection
Other Surgical Procedures for Oral Cancer
- Pedicle or free flap reconstruction
- Tracheostomy
- Gastrostomy tube
- Dental extraction and implants
References
- ↑ Kerawala C, Roques T, Jeannon JP, Bisase B (2016). "Oral cavity and lip cancer: United Kingdom National Multidisciplinary Guidelines". J Laryngol Otol. 130 (S2): S83–S89. doi:10.1017/S0022215116000499. PMC 4873943. PMID 27841120.