A worldwide comparison of the management of surgical treatment of advanced oral cancer
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A worldwide comparison of the management of surgical treatment of advanced oral cancer. / Kansy, Katinka; Mueller, Andreas Albert; Mücke, Thomas; Koersgen, Friederike; Wolff, Klaus Dietrich; Zeilhofer, Hans-Florian; Hölzle, Frank; Pradel, Winnie; Schneider, Matthias; Kolk, Andreas; Smeets, Ralf; Acero, Julio; Haers, Piet; Ghali, G E; Hoffmann, Jürgen.
In: J CRANIO MAXILL SURG, Vol. 46, No. 3, 03.2018, p. 511-520.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - A worldwide comparison of the management of surgical treatment of advanced oral cancer
AU - Kansy, Katinka
AU - Mueller, Andreas Albert
AU - Mücke, Thomas
AU - Koersgen, Friederike
AU - Wolff, Klaus Dietrich
AU - Zeilhofer, Hans-Florian
AU - Hölzle, Frank
AU - Pradel, Winnie
AU - Schneider, Matthias
AU - Kolk, Andreas
AU - Smeets, Ralf
AU - Acero, Julio
AU - Haers, Piet
AU - Ghali, G E
AU - Hoffmann, Jürgen
N1 - Copyright © 2018 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
PY - 2018/3
Y1 - 2018/3
N2 - INTRODUCTION: Microvascular surgery following tumor resection has become an important field of oral and maxillofacial surgery (OMFS). Following the results from management of T1/T2 floor-of-mouth and tongue squamous cell carcinoma (SCC) in German-speaking countries, Europe, and worldwide, this paper presents specific concepts for the management of resection and reconstruction of T3/T4 SCC of the maxillary and mandibular alveolar process and tongue.METHODS: The DÖSAK questionnaire was distributed in three different phases to a growing number of maxillofacial units worldwide. Within this survey, clinical patient settings were presented to participants and center-specific treatment strategies were evaluated.RESULTS: A total of 188 OMFS units from 36 different countries documented their treatment strategies for T3/T4 maxillary and mandibular alveolar process and tongue SCC. The extent of surgical resections and subsequent reconstructions is more consistent than with T1/T2 tumors, although the controversy surrounding continuity resections and mandible-sparing procedures remains. For continuity resection of the mandible the fibula free flap is the most frequently used bone replacement, whereas maxilla reconstruction concepts are less consistent, ranging from locoregional coverage concepts and different microvascular reconstruction options to treatment via obturator prosthesis.CONCLUSION: Results from treatment strategies for T3/T4 tumors underline the limited evidence for the appropriate amount of resection and subsequent reconstruction process, especially in cases involving the mandible. Prospective randomized trials will be necessary in the long term to establish valid treatment guidelines.
AB - INTRODUCTION: Microvascular surgery following tumor resection has become an important field of oral and maxillofacial surgery (OMFS). Following the results from management of T1/T2 floor-of-mouth and tongue squamous cell carcinoma (SCC) in German-speaking countries, Europe, and worldwide, this paper presents specific concepts for the management of resection and reconstruction of T3/T4 SCC of the maxillary and mandibular alveolar process and tongue.METHODS: The DÖSAK questionnaire was distributed in three different phases to a growing number of maxillofacial units worldwide. Within this survey, clinical patient settings were presented to participants and center-specific treatment strategies were evaluated.RESULTS: A total of 188 OMFS units from 36 different countries documented their treatment strategies for T3/T4 maxillary and mandibular alveolar process and tongue SCC. The extent of surgical resections and subsequent reconstructions is more consistent than with T1/T2 tumors, although the controversy surrounding continuity resections and mandible-sparing procedures remains. For continuity resection of the mandible the fibula free flap is the most frequently used bone replacement, whereas maxilla reconstruction concepts are less consistent, ranging from locoregional coverage concepts and different microvascular reconstruction options to treatment via obturator prosthesis.CONCLUSION: Results from treatment strategies for T3/T4 tumors underline the limited evidence for the appropriate amount of resection and subsequent reconstruction process, especially in cases involving the mandible. Prospective randomized trials will be necessary in the long term to establish valid treatment guidelines.
KW - Aged
KW - Alveolar Process
KW - Female
KW - Global Health
KW - Health Care Surveys
KW - Humans
KW - Jaw Neoplasms
KW - Male
KW - Middle Aged
KW - Neoplasm Staging
KW - Oral Surgical Procedures
KW - Squamous Cell Carcinoma of Head and Neck
KW - Tongue Neoplasms
KW - Comparative Study
KW - Journal Article
U2 - 10.1016/j.jcms.2017.12.031
DO - 10.1016/j.jcms.2017.12.031
M3 - SCORING: Journal article
C2 - 29395993
VL - 46
SP - 511
EP - 520
JO - J CRANIO MAXILL SURG
JF - J CRANIO MAXILL SURG
SN - 1010-5182
IS - 3
ER -
