TREATMENT OF INTRAORAL CARCINOMA—Combined Resection of the Jaw and Radical Dissection of the Neck

Intraoral carcinomas first occur as primary growths. From these sites they spread by the lymphatics to the regional nodes. In the past, treatment of these lesions has consisted of radiation therapy for the primary lesion, followed by radical neck dissection. The results of this treatment have not be...

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Bibliographic Details
Published in:California medicine 1953-09, Vol.79 (3), p.218-219
Main Author: WILDE, N J
Format: Article
Language:English
Subjects:
Carcinoma
Humans
Jaw - surgery
Lymph Nodes - surgery
Lymphatic System
Lymphatic Vessels
Mouth Neoplasms
Neck - surgery
Neck Dissection
Old Medline
Orthognathic Surgery
Orthognathic Surgical Procedures
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Summary:Intraoral carcinomas first occur as primary growths. From these sites they spread by the lymphatics to the regional nodes. In the past, treatment of these lesions has consisted of radiation therapy for the primary lesion, followed by radical neck dissection. The results of this treatment have not been satisfactory. On the other hand, for carcinoma elsewhere in the body the results of surgical extirpation of the primary lesion, of the intervening lymphatics and of the regional nodes at the same operation has given much better results. In the past few years an attempt has been made to improve the results of treatment of intraoral carcinoma by removal in continuity of the primary lesion, intervening lymphatics and regional nodes. The improvement in anesthesiology, electrolytes and fluid balance, blood replacement, and the development of the antibiotics, in conjunction with the realization that the cosmetic deformity is not as great as might be expected, has led to this development. In those centers where it has been possible to apply this principle of treatment to intraoral carcinoma the results have been very encouraging.
ISSN:0008-1264
2380-9949