Journal of IMAB Annual Proceeding Scientific Papers 2009 book 1ABSTRACTpharyngotomy in order to remove the tumor On the basisa decision A review of the literature concerning this matter Tongue ID: 937373
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SURGICAL TREATMENT OF TONGUE BASECARCINOMA USING UPPER LATERALPHARYNGOTOMYTsvetan Tonchev, Savina NenchevaDepartment of Oral and Maxillofacial Surgery, Faculty of Dental Medicine,Prof. Paraskev Stojanov Medical University of Varna, Bulgaria Journal of IMAB - Annual Proceeding (Scientific Papers) 2009, book 1ABSTRACT:pharyngotomy in order to remove the tumor. On the basisa decision. A review of the literature concerning this matter Tongue base carcinoma; Approach;Surgical treatment; Upper lateral pharyngotomy.Tongue base carcinoma is an aggressive tumor with Its optimal treatment is disputable. The The supporters of the surgical treatmenttherapy. The regional control when using surgical treatment Essential improvement of the localMATERIALS AND METHODS Surgical approach to the base of tonguewhich determined stage III and IVA of the disease. After x-(Tab. 1). The lab blood tests were in norm.SexTNMClinical56M110III68M120IVA73M100I78F100ITab. 1. Distribution of patients by age, sex and T
NMoperation (Tab. 2). After interdisciplinary discussion all ofthe patients underwent postoperative radiation therapy.¹SurgicalCompli-Follow uptreatment cation TR+RNDSCCNo18DODTR+RNDSCCNo9DPDTRSCCNo25ATRSCCNo10ATab. 2. Surgical treatment modalities, results andRESULTScomplications of systemic or local character. The patientsneed of tracheotomy. The follow-up period is between 9 and25 months (15,5 average). To the present moment two of themonths after surgery. Fig. 3. The average age of the patients is 68,5 yearsAmerican Joint Committee on Cancer. At admission two of Dr. Tsvetan Tonchev, DMD, PhDDepartment of Oral and Maxillofacial Surgery, Faculty of Dental Medicine;Prof. Paraskev Stojanov Medical University of Varna55 Marin Drinov street, BG-9002 Varna, Bulgaria1. Alvi A, J. Johnson. Development ofadvanced-stage head and neck cancer. 2. American Joint Committee onsoft palate, and uvula). In: AJCC CancerStaging Atlas. Greene, F, Compton, C,Fritz, A, Shah, J, Winchester D, editors.New
York; 3. Baily B, Surgey for cancer (Tof the oral cavity. Chicago; Year book4. Calais G, et al. Squamous cell5. Dupont J, O. Guillamondegui, R.6. Foote R, et al. Base of tongue 7. Gourin C, J. Johnson, Surgical 2001;8. Hinerman R, et al. External beamalternative to primary surgery.9. Jaulerry C, et al. Results of radiation10. Lee H, et al. Long-term regional 1997;38:99511. Machtay M, et al. Combined12. Mark A, et al. Functional OutcomesCarcinoma of the Base of the Tongue. Arch13. Nisi K, et al. Adjuvant radiotherapy1998; 41:371377.14. Parsons J, R. Million, N. Cassisi.15. Spiro R, Strong E. Surgical16. Weber P, Myers E, Johnson J.17. Weber R, et al. Treatment selection 1990;160:415419.metastasis. Although the progress of the therapeuticregarding the use of operative treatment alone are few. Theradiation therapy. With the surgical treatment the local The fact was also Theworsened depending on the size of the primal tumor, due toirreversible functional disorders. Although the improve