CC BY-NC-ND 4.0 · Laryngorhinootologie 2021; 100(S 02): S109
DOI: 10.1055/s-0041-1727921
Abstracts
Head-Neck-Oncology: Tumor Surgery / Functional Reconstructive Surgery

Interdisciplinary oncological concept for therapy of advanced oropharyngeal carcinoma

SP. Schraven
1   Universitätsmedizin Rostock, Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie „Otto Körner”, Rostock
,
D Strüder
1   Universitätsmedizin Rostock, Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie „Otto Körner”, Rostock
,
T Schuldt
1   Universitätsmedizin Rostock, Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie „Otto Körner”, Rostock
,
J Grajek
1   Universitätsmedizin Rostock, Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie „Otto Körner”, Rostock
,
J Groß
2   Universitätsmedizin Rostock, Chirurgische Klinik und Poliklinik, Abteilung für Allgemein-, Viszeral-, Gefäß- und Transplantationschirurgie, Rostock
,
Sönke Langner
3   Universitätsmedizin Rostock, Institut für Diagnostische und Interventionelle Radiologie, Kinder- und Neuroradiologie, Rostock
,
A Erbersdobler
4   Universitätsmedizin Rostock, Institut für Pathologie, Rostock
,
R Mlynski
1   Universitätsmedizin Rostock, Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie „Otto Körner”, Rostock
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    Tumors of the oral cavity and the throat represent with 3,8 %  of all cancer new illnesses the 6. most frequent tumor illness with men. In 2016, 4180 women and 9720 men in Germany were affected by this tumor entity. The most important risk factors for the development of squamous cell carcinomas in the oral cavity and throat are tobacco and alcohol consumption as well as chronic infections with human papilloma viruses.

    After radiological imaging, histological securing and performance of a panendoscopy to determine the tumor extent and to exclude a synchronous second carcinoma, the patient is presented in the interdisciplinary head and neck tumor conference and an individual therapy for the patient is defined. For larger tumors, in addition to primary radiochemotherapy, there is the option of surgical tumor resection including removal of cervical lymph nodes, plastic reconstruction and adjuvant radiotherapy or radiochemotherapy.

    In this movie we report on a 47-year-old patient with a cT3 cN2c cM0 oropharyngeal carcinoma of the soft palate. After enoral tumor resection and intraoperative frozen section analysis, functionally selective neck dissection of Level II-V on both sides and plastic reconstruction of the oropharynx with a microvascularly anastomosed fasciocutaneous flap of the forearm was performed. Adjuvant radiotherapy was accomplished 3 weeks postoperatively.

    The film illustrates the interdisciplinary oncological concept of therapy of an advanced oropharyngeal carcinoma consisting of surgical resection, plastic reconstruction and adjuvant therapy.

    Poster-PDF A-1469.pdf


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    Conflict of interest

    Der Erstautor gibt keinen Interessenskonflikt an.

    Address for correspondence

    Priv.-Doz. Schraven Sebastian P.
    Universitätsmedizin Rostock, Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie „Otto Körner”
    Rostock

    Publikationsverlauf

    Artikel online veröffentlicht:
    13. Mai 2021

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