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== Tongue cancer historical perspective == | == Tongue cancer historical perspective == | ||
* 1831, Jaeger first described splitting the Cheek and Maisonneuve took matters even further by splitting both cheeks. | |||
* Billroth appreciated the importance of good access and took the procedure a stage further, removing a section of the mandibular body to reach the tongue and oropharynx Bernard von Langenbeck, who in 1875 resected the ramus of the mandible in continuity with the primary tumour.28 | |||
* By 1923, radiotherapy was used to treat neck metastases. | * By 1923, radiotherapy was used to treat neck metastases. | ||
* By 1930s, Hayes Martin, a radiotherapist and general surgeon, at Memorial Hospital, New York, was the first to focuse on improving cure rates by treating the primary tumour with X-rays by the Coutard method supplemented with gold radium seeds. | * By 1930s, Hayes Martin, a radiotherapist and general surgeon, at Memorial Hospital, New York, was the first to focuse on improving cure rates by treating the primary tumour with X-rays by the Coutard method supplemented with gold radium seeds. | ||
Revision as of 19:09, 30 November 2017
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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
Tongue cancer historical perspective
- 1831, Jaeger first described splitting the Cheek and Maisonneuve took matters even further by splitting both cheeks.
- Billroth appreciated the importance of good access and took the procedure a stage further, removing a section of the mandibular body to reach the tongue and oropharynx Bernard von Langenbeck, who in 1875 resected the ramus of the mandible in continuity with the primary tumour.28
- By 1923, radiotherapy was used to treat neck metastases.
- By 1930s, Hayes Martin, a radiotherapist and general surgeon, at Memorial Hospital, New York, was the first to focuse on improving cure rates by treating the primary tumour with X-rays by the Coutard method supplemented with gold radium seeds.
- By 1928, V. P. Blair of St Louis was the first to advocate surgery as the best management for oral cancers. Blair introduced regional flaps in and these were later popularized by Egerton, Mcgregor, and Millard.72
- By fifties, development of bleeding control techniques, antibiotics, and blood transfusion made it possible to do advanced surgeries for cancers.
- The use of a split skin grafts had been first introduced in 1917 by Esser he described an axial pattern flap based on the temporal artery.67,68
- In the latter half of this century, A major initiative of the 1970s and 1980s was cytotoxic chemotherapy.
- The prospect of improved radiotherapy results was also raised by the introduction of hyperbaric oxygen and radiosensitizers, but to little effect. The introduction of neutron beam therapy offered the prospect of a breakthrough in non-invasive therapy.