Transoral laser resections of oral cavity and oropharyngeal tumors

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Abstract

The incidence of squamous cell carcinoma of the head and neck remains high and ranks tenth in the structure of overall cancer morbidity. Surgical radicality has remained one of the major determinants of the long-term results of treatment so far. In the period December 2014 to January 2016, our clinic performed surgical interventions as transoral laser oral cavity and oropharyngeal resections using carbon dioxide (CO2) laser in 34 patients. Tumors are most commonly located in the area of the tongue root and oropharynx in 16 (47.1 %) patients, tongue (its anterior two thirds) in 14 (41.2 %), and mouth floor in 4 (11.7 %). The average length of hospital stay after transoral laser resections was 10.14 days. A nasogastric tube was postoperatively placed in 6 (17.6 %) patients for 8 to 17 days. According to the results of planned histological examination, surgical interventions were microscopically radical in all cases. Transoral CO2 laser resections make possible to perform rather large radical surgical interventions with a satisfactory functional and cosmetic results, without deteriorating the long-term results of treatment. 

About the authors

M. V. Bolotin

N.N. Blokhin Russian Cancer Research Center at the Ministry of Health of Russia; 23 Kashirskoe Shosse, Moscow, 115478, Russia

Author for correspondence.
Email: bolotin1980@mail.ru
Russian Federation

A. M. Mudunov

N.N. Blokhin Russian Cancer Research Center at the Ministry of Health of Russia; 23 Kashirskoe Shosse, Moscow, 115478, Russia

Email: fake@neicon.ru
Russian Federation

R. I. Azizyan

N.N. Blokhin Russian Cancer Research Center at the Ministry of Health of Russia; 23 Kashirskoe Shosse, Moscow, 115478, Russia

Email: fake@neicon.ru
Russian Federation

O. A. Saprina

N.N. Blokhin Russian Cancer Research Center at the Ministry of Health of Russia; 23 Kashirskoe Shosse, Moscow, 115478, Russia

Email: fake@neicon.ru
Russian Federation

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