SURGICAL MANAGEMENT

SURGICAL MANAGEMENT

Surgery , with adjuvant radiotherapy (or chemoradiotherapy) if indicated, remains the mainstay for management of oral cavity cancer. Over time, surgical techniques have evolved to become more refined with a greater emphasis on function-sparing techniques and a move away from more radical procedures. Reconstruction of postablative defects with an associated improvement in quality of life is a cornerstone of the surgical management of oral cavity cancer. This evolution in surgical management has been influenced by an improved understand - ing of tumour biology , more accurate staging investigations and microvascular free tissue transfer reconstruction. Overall and disease-specific survival is largely dictated by tumour biolog y , with features such as nodal metastases with ENE of greatest importance. Notwithstanding this, surgeons can optimise the outcome for patients by considering the following principles: /uni25CF patient selection; /uni25CF key surgical decisions; /uni25CF reconstruction; - /uni25CF multidisciplinary care. SURGICAL MANAGEMENT

Surgery , with adjuvant radiotherapy (or chemoradiotherapy) if indicated, remains the mainstay for management of oral cavity cancer. Over time, surgical techniques have evolved to become more refined with a greater emphasis on function-sparing techniques and a move away from more radical procedures. Reconstruction of postablative defects with an associated improvement in quality of life is a cornerstone of the surgical management of oral cavity cancer. This evolution in surgical management has been influenced by an improved understand - ing of tumour biology , more accurate staging investigations and microvascular free tissue transfer reconstruction. Overall and disease-specific survival is largely dictated by tumour biolog y , with features such as nodal metastases with ENE of greatest importance. Notwithstanding this, surgeons can optimise the outcome for patients by considering the following principles: /uni25CF patient selection; /uni25CF key surgical decisions; /uni25CF reconstruction; - /uni25CF multidisciplinary care.