Aims: The authors present their surgical experience of 122 cases of lateral oral cavity tumors observed between 1989 and 1998, the various techniques of access to the tumor are discussed. Personal attitude and other authors considerations, such as clinical assessment, surgical management, tumor resection, neck treatment and reconstruction are discussed. Method: We observed 271 cases of oral cavity cancer. Thirty were treated with brachytherapy, 21 with external radiation therapy, nine with palliation and 211 were operated. We selected the cases with lateral oral cavity tumors only and we found 122 patients, 99 males and 23 females, the most frequent localization were: floor of the mouth, oral tongue, retromolar trigone. During resection of the tumor we performed 50 hemimandibulectomies and 30 marginal resections, 69 patients had unilateral functional neck dissection and 30 bilateral. Results: No mandibular invasion was found after marginal bone resection, but 22% of the hemimandibles were infiltrated by the tumor. Seventy-eight patients needed reconstruction, 43 had pedicled flaps and 13 microvascular free flaps. We used titanium plates in 10 cases. We performed pedicled flaps combined with titanium plates for reconstruction in the older and worse prognosis patients and free flaps for the younger and better prognosis cases. Conclusions: Based on our experience we want to stress the value of a proper surgical approach in order to obtain oncological radicality and to perform an effective reconstruction to restore the physiology.
|Issue number||SUPPL. 1|
|Publication status||Published - 2001|
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