Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-03T08:43:40.972Z Has data issue: false hasContentIssue false

Major surgery of oral and oropharyngeal carcinoma

Published online by Cambridge University Press:  29 June 2007

T. Alun Jones
Affiliation:
Department of Otolaryngology, 7925 Observatory, Cape Town, South Africa.
I. Gallow
Affiliation:
Department of Otolaryngology, 7925 Observatory, Cape Town, South Africa.
S. L. Sellars*
Affiliation:
Department of Otolaryngology, 7925 Observatory, Cape Town, South Africa.
D. H. Kranold
Affiliation:
Department of Radiotherapy, Groote Schuur Hospital, 7925 Observatory, Cape Town, South Africa.
G. R. Sealy
Affiliation:
Department of Radiotherapy, Groote Schuur Hospital, 7925 Observatory, Cape Town, South Africa.
*
Professor S. L. Sellars, Department of Otolaryngology, Groote Schuur Hospital, Observatory 7925, South Africa.

Abstract

Thirty-two composite resections were carried out in the Department of Otolaryngology at Groote Schuur Hospital for oral and oro-pharyngeal squamous carcinoma over the 10-year period, 1977–1986. Three patients were lost to review but all others were followed up to death or to five years. Twenty-seven patients underwent surgery as their primary procedure and five for recurrence after primary radiotherapy. The overall survival was 16 patients at three years and eight at five years. Only one of the five patients who underwent salvage surgery after failed radiotherapy was alive at five years and all five experienced serious postoperative complications. All thosesurviving over five years had had either N0 or N1, disease at the time of presentation for surgery.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ator, G. A., Abemayor, E., Lufkin, R. B., Hanafee, W. N., Ward, P. H. (1990) Evaluation of mandibular tumour invasion with magnetic resonance imaging. Archives of Otolaryngology, Head and Neck Surgery, 116: 454459.Google Scholar
Barrs, W. M, De Santo, L. W., O'Fallon, W. M. (1979) Squamous cell carcinoma of the tonsil and tongue base region. Archives of Otolaryngology, 105: 479485.CrossRefGoogle ScholarPubMed
Geoffray, B., Laboinski, B., Wibault, P., Michean, C, Richard, J. M. (1987) Combined treatment of cancer of the posterior oral cavity and oropharynx. Clinical Otolaryngology, 12: 429439.CrossRefGoogle ScholarPubMed
Komisar, A. (1990) Functional results following mandibular reconstruction. Archives of Otolaryngology, Head and Neck Surgery, 116: 257.Google Scholar
O'Reilly, B. J., Leung, A., Greco, A. (1989) Magnetic resonance imaging in head and neck cancer. Clinical Otolaryngology, 14: 6778.Google Scholar
Randall, C. J., Eyre, J., Davies, D., Walsh-Waring, G. P. (1987) Marginal mandibulectomy for malignant disease. Indications, rationale, and results. Journal of Laryngology and Otology, 101: 676684.Google ScholarPubMed