Clinical results of surgical treatment of patients with oropharyngeal cancer

Abstract

Cancer of the oral mucosa and oropharynx is ranked 6th in the world. Most domestic and foreign oncologists prefer combination therapy in the treatment of cancer of the oropharyngeal area, where surgery is the leading component in the treatment. The work is based on the study of the clinical results of surgical treatment of 177 patients. The volume of surgical resection depended on the location and prevalence of cancer on the mucous membrane of the tongue, the bottom of the oral cavity, and the oral part of the pharynx. Depending on the volume of surgical resection, all patients were divided into two groups: the group with intraoral resections included 95 (53,6%) patients who underwent intraoral resection within one or two anatomical structures. The group with extended resections and the stage of reconstructive surgery included 82 (46,3%) patients, all patients underwent extended resection within at least three anatomical zones. The resulting post-resection defects, which are incompatible with life, are an absolute indication for performing simultaneous reconstructive operations. After surgical treatment, postoperative mortality and five-year relapse-free survival were studied in all patients at the stages of dynamic control.