[Our experience in the treatment advanced neoplasms of floor of the mouth].

Abstract

AIM:

The aim of this study was to evaluate results of our surgical treatment of advanced neoplasms of the floor of the mouth, treated from 2005-2011 in Department of Otolaryngology and Department of Plastic Surgery Medical University of Gdańsk

MATERIAL:

We analyzed group of 12 patients (aged 36 to 70 years, mean 55) treated by primary surgical excision of neoplasms of the floor of the mouth (with tracheotomy and mandibulotomy) and selective or radical neck dissection (uni- or bilateral) in combination with chemoradiotherapy. All patients referees with advancement of locoregional disease: primary tumors (T3 or T4) and neck metastases (N1 or N2b) Most of the patients required to use free microvascular reconstruction with free forearm skin flaps. Histological examinations revealed squamous cell carcinoma (11/12) and adenocarcinoma (1/12).

RESULTS:

Two patients die in 1 and 4 months after surgery. Three die from 2 to 3 years after surgery. Rest live from 6 month to 6 year after therapy.

CONCLUSION:

Free forearm skin microvascular flap is good (anatomical and functional) for reconstruction for large defects after resection neoplasms of the floor of the mouth.

• Authors: Andrzej Skorek, Jerzy Jankau, Barbara Drogoszewska, Krzysztof Kiciński, Dominik Stodulski, Magdalena Graczyk, Aleksandra Ankiewicz
• Journal: Otolaryngologia polska = The Polish otolaryngology (Otolaryngol Pol) 2011 Sep-Oct Vol. 65 Issue 5 Pg. 345-9 ISSN: 0030-6657 [Print] Poland
• Vernacular Title: Doświadczenia własne w leczeniu zaawansowanych nowotworów dna jamy ustnej.
• PMID: 22078284 (Publication Type: English Abstract, Journal Article)
• Copyright: Copyright © 2011 Polish Otolaryngology Society. Published by Elsevier Urban & Partner (Poland). All rights reserved.

Topics

• Adult
• Aged
• Carcinoma, Squamous Cell (pathology, surgery)
• Female
• Humans
• Male
• Middle Aged
• Mouth Floor
• Mouth Neoplasms (pathology, surgery)
• Neoplasm Recurrence, Local (pathology, surgery)
• Neoplasm Staging
• Poland
• Plastic Surgery Procedures (methods)
• Retrospective Studies
• Surgical Flaps
• Treatment Outcome