Oncologic Surgery

in the field of Cranio-Maxillofacial Surgery

INTRODUCTION

Oncologic surgery in the field of Cranio-Maxillofacial Surgery, i.e., Surgery of the anatomical district of the head and neck, deals with the surgical treatment of tumors affecting anatomical structures both at the level of hard tissues (bone) and at the level of soft tissues of the skull, face, mouth, neck, and salivary glands. Through the evolution of surgical techniques and integration with other medical disciplines, Cranoi-Maxillofacial Oncologic Surgery is able to provide an increasingly personalized and targeted approach to the care of patients with malignancies.

Major tumors of the maxillofacial district

Tumors of the maxillofacial district can be divided into several categories, including:

  • Skin cancers: melanoma, basal cell carcinoma, and spinocellular carcinoma;
  • Salivary gland tumors;
  • Oral cavity cancers-of the lip, tongue, palate, gums, and floor of the mouth;
  • Bone and soft tissue tumors.

Diagnosis and staging

Early diagnosis is critical to successful treatment. Diagnostic techniques used in the maxillofacial field include clinical examination, endoscopy, radiology (such as radiographs, computed tomography, and magnetic resonance imaging), and biopsy. Tumor staging is determined based on the extent of the disease and the presence of any metastases.

Available treatments

Treatment of maxillofacial tumors may include several options, including:

  • Surgery-removal of the tumor and involved structures is the main therapy for most maxillofacial tumors. Surgery can be conservative, when an attempt is made to preserve the function and aesthetics of the structures involved, or demolitive, when large portions of tissues are removed with their immediate reconstruction, emphasizing aesthetic-functional restoration;
  • Radiation therapy-used as adjuvant therapy to surgery or in cases of contraindication to surgery, radiation therapy can be administered either externally or by brachytherapy;
  • Chemotherapy-can be used in combination with surgery and radiation therapy, especially in advanced or metastatic tumors;
  • Target therapies – aim to block specific molecules or signaling pathways involved in tumor growth, offering a less invasive and more selective alternative to traditional chemotherapy.

Reconstruction and rehabilitation

Cranio-Maxillofacial Oncologic Surgery often involves the removal of structures important to the function and aesthetics of the face. Therefore, reconstruction of the excised tissues and structures plays a crucial role in improving the patient’s quality of life.
Reconstruction techniques may include skin grafts, pedicled flaps or microsurgical flaps, which use tissue taken from other parts of the patient’s body. The use of prostheses and implants may be necessary to restore the form and function of the structures involved.

Post-surgical rehabilitation is an essential part of the treatment pathway. It includes physiotherapy to improve mobility and muscle strength, speech therapy to re-educate verbal function and swallowing, and psychological counseling to deal with the emotional difficulties associated with the disease and treatment.

Conclusions

Cranio-Maxillofacial Oncologic Surgery is an ever-evolving discipline that uses the latest scientific discoveries and new technologies to offer patients the best chance of survival and recovery of facial function and aesthetics. The integration of different medical disciplines, such as radiotherapy, chemotherapy, and target therapy, makes it possible to optimize the treatment of head and neck cancers and tailor it to the needs of the individual patient. Reconstruction and rehabilitation are essential to ensure a return to daily life and to deal with the emotional aspects related to the disease and its treatment.
Dr. Eitan Avagd Ozeri’s rich years of international experience in this field, accompanying patients during the various diagnostic-surgical and therapeutic phases and continuous personal monitoring of patients along their journey with a holistic approach, make Dr. Eitan Avagd Ozeri considered a benchmark and an authority in the field of his specialty, ensuring patients high quality, safe and reliable care in the management of their medical issues.

Book an appointment with Dr. Ozeri A. Eitan

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