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Surgical treatment of 200 patients with oral & maxillofacial cancer with neck dissection
Joint Event on 4th European Otolaryngology-ENT Surgery Conference & 3rd International Conference on Craniofacial Surgery
Sabah Abdulaziz Issa
Ghazi Alhariri Hospital, Iraq
ScientificTracks Abstracts: Otolaryngol (Sunnyvale)
Abstract
Background: Oral cancer represent 3-5%of all body cancer,while Squamous cell carcinoma represent 90% of oral cancer.Its disease of elderly people affect mainly age between 60-70years.Diagnosis depend on their clinical examination,investigations&proved by incisional biopsy to arrange their TNM system.The treatment was resection of primary site with different types of neck dissection.Patients and methods:This study includes 200 patients with oral cancer(96 females & 104 males). Age range between 20-90years,were treated with primary site resection and different types of neck dissection. All patients treated in maxillofacial department in Ghazi alhariri hospital-medical city-baghdad-Iraq. Surgery done by consultant maxillofacial surgeon(dr.sabah Abdulaziz Issa).The primary sites mainly affect tongue, mandibular alveolus, maxillary alveolus, cheek, floor of mouth, lower lip, parotid gland, submandibular gland, oral commissure&upper lip in sequence.While neck treatment with selective neck dissection,classical n.dissection & functional n.dissection in sequence.
Results: The main age group affected was between 61-70 y.(55patients) followed by age group between 51-60y.(40 patients). Regarding primary site tumor size, 77 patients with T4, 70 patients with T3, 52 patients with T2 & only 5patient with T1. Regarding sites, tongue was 30% and the least site was upper lip was 1%.About types of oral cancer, sq.c.c(155 patients) followed by mucoepidermoid carcinoma(19patients) & the least type was duct cell carcinoma(1 patient). Regading lymph nodes metastasis of the neck 80 patients with N1, 54 patients with N2, 53 patients with N0 & 13 patients with N3. About the surgical treatment of neck 70% treated with selective n.dissection, 24% treated with classical n.dissection & only 6% treated with functional n. dissection. Regarding the sides of n. dissection were 106 left side & 107 right side with 187 patients with unilateral n. dissection & 13 patients with bilateral n. dissection.
Biography
E-mail: sabahabdulaziz@yahoo.co.uk
