Resection Of Oropharyngeal Cancer Research Articles

Treatment results of combined high‐dose preoperative radiotherapy and surgery for oropharyngeal cancer

Fifty eight patients receiving planned high-dose preoperative radiotherapy followed by en bloc oro-mandibular-cervical resection for oropharyngeal cancer were reviewed. These patients received continued close observation and care from both the Otolaryngology and Radiotherapy services. In light of the ongoing controversy of preoperative vs. postoperative radiotherapy, we present our data demonstrating the value of preoperative radiation. An overall tumor control rate of 66% was achieved, with an adjusted survival rate of 62%. This was not only for early lesions, but also in patients having advanced (T3, T4) tumor and/or nodal disease (N1-4). These figures are somewhat higher than expected from the literature. A review and discussion of the surgical complications are also presented.

Tattooing for preservation of oral and oropharyngeal cancer resection margins.

En bloc composite cancer surgery for head and neck tumors is now available with reconstruction. Preoperative adjuvant therapy threatens the concept of wide resection because of alteration of tumor margins. Pre-irradiation tattooing at resection margins will preserve this fundamental surgical doctrine.

The lip-splitting approach to resection of oropharyngeal cancer.

Adequate margins are of primary importance in a composite resection of oropharyngeal carcinomas. Secondary considerations include the functional status and cosmetic result of the patient after the operation. A series of 6 patients demonstrate that, in selected cases, a lip-splitting approach to increase exposure while ensuring adequate margins may be undertaken without undue fear of functional impairment or cosmetic deformity. The ultimate result will depend on proper placement of the incisions and careful reapproximation of tissue.

Immmediate forehead flap repair in resection for oropharyn geal cancer

Immmediate forehead flap repair in resection for oropharyn geal cancer

Immediate forehead flap repair in resection for oropharyngeal cancer

A number of distinct advantages appear to be offered by immediate forehead flap reconstruction in the treatment of patients with oropharyngeal cancer. 1. 1. The patients are subjected to a minimal period of hospitalization, a highly desirable goal in patients with a poor prognosis. 2. 2. The multiple problems attendant upon daily management of a salivary fistula are avoided. 3. 3. Proper intraoral anatomic relationships are preserved and facial deformity is minimized. 4. 4. The early or late postoperative administration of radiation therapy is facilitated.