J 2010

Hemimandibulectomy and therapeutic neck dissection with radiotherapy in the treatment of oral squamous cell carcinoma involving mandible: a critical review of treatment protocol in the years 1994-2004

HOFFMANNOVÁ, Jiřina, René FOLTÁN, Marek VLK, Michal ŠIPOŠ, Edita HORKÁ et. al.

Basic information

Original name

Hemimandibulectomy and therapeutic neck dissection with radiotherapy in the treatment of oral squamous cell carcinoma involving mandible: a critical review of treatment protocol in the years 1994-2004

Authors

HOFFMANNOVÁ, Jiřina (203 Czech Republic), René FOLTÁN (203 Czech Republic), Marek VLK (203 Czech Republic), Michal ŠIPOŠ (203 Czech Republic), Edita HORKÁ (203 Czech Republic), Gabriela PAVLÍKOVÁ (203 Czech Republic), Roman KUFA (203 Czech Republic), Oliver BULIK (203 Czech Republic, guarantor, belonging to the institution) and Jiří ŠEDÝ (203 Czech Republic)

Edition

International Journal of Oral and Maxillofacial Surgery, EDINBURGH, Scotland, CHURCHILL LIVINGSTONE, 2010, 0901-5027

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 1.302

RIV identification code

RIV/00216224:14110/10:00075346

Organization unit

Faculty of Medicine

UT WoS

000279570600007

Keywords in English

squamous cell carcinoma; oral cavity; retrospective study; tumour; actinotherapy; hemimandibulectomy; neck dissection

Tags

Tags

International impact, Reviewed
Změněno: 14/5/2014 15:40, Ing. Mgr. Věra Pospíšilíková

Abstract

V originále

This retrospective non-randomized 10-year follow-up study compared 147 patients with squamous cell carcinoma (SCC) of the oral cavity requiring hemimandibulectomy, treated by surgical resection, therapeutic neck dissection and radiotherapy The 5-year survival rates were compared related to localization, size of the tumour, infiltration of locoregional lymph nodes, distant metastases, histopathological grading, radicality of surgery, and invasion of tumour into the mandible Occurrence of tumour relapse and its localization was studied The mean 5-year survival rate was 26% Patients with SCC of the mandibular alveolar process had higher rates, the lowest rates occurred in SCC of the buccal mucosa. Survival rate was significantly lower with insufficient resection of the tumour (85% relapse) An important number of patients with radical resection died within 3 months of surgery In almost 55% of the mandibles turnout was not present In 5% of infiltrated mandibles, dissemination into inferior alveolar nerve was proven Decreasing survival rate was seen with increasing size of tumour and higher histological grade Therapeutic neck dissection significantly reduces survival rate and increases the percentage of lymph node relapse. Elective neck dissection should be performed in SCC requiring hemimandibulectomy Primary reconstruction should reverse the high percentage of postoperative complication arising from increased radicality