Review of surgical resection and reconstruction in head and neck cancer

Alfouzan, Afnan F.

doi:10.15537/smj.2018.10.22887

Cited by 22 publications

(23 citation statements)

References 137 publications

(135 reference statements)

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“…Ainda assim, a cirurgia robótica na odontologia demonstra um grande potencial para a melhoria do processo e planejamento cirúrgico, conforme autores como Alfouzan et al (2018), Liu et al (2017) e Gulati et al (2015).…”

Section: Discussionunclassified

“…As cirurgias com a presença de robôs são indicadas em diversos tipos de procedimentos na odontologia, principalmente em intervenções complexas que necessitam de uma alta precisão ou de resultados funcionais e estéticos superiores às cirurgias convencionais, ou intervenções nas quais antes o procedimento não era possível, como pode-se ver nas citações de autores como Sun et al (2020), Alfouzan et al (2018), Gulati et al (2015), Reddy et al(2015) e Kumar et al (2016).…”

Section: Discussionunclassified

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Robótica na cirurgia odontológica: Revisão integrativa

Queiroga

Falcão

Alves-Silva

et al. 2021

RSD

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Os robôs são uma inovação tecnológica adaptada para utilização em procedimentos cirúrgicos dos mais variados âmbitos, auxiliando o profissional de saúde no cumprimento de seu papel. Quando associados à odontologia, tem-se aplicabilidade em diversas áreas como a oncologia e implantodontia. O objetivo deste trabalho foi realizar uma revisão integrativa da literatura atual sobre procedimentos cirúrgicos robotizados na odontologia, destacando suas técnicas, indicações, vantagens e desvantagens. Foi feita uma pesquisa dos artigos nas bases de dados eletrônicas CAPES, PubMed e MEDLINE, utilizando os descritores: “Robotic Surgical” “Procedures”, “Dentistry”, “Oral Surgery”, indexados no período de 2015 a 2020, que tratavam de relatos de caso, revisões de literatura, estudos in vivo que relatam a utilização de robôs em procedimentos cirúrgicos odontológicos, estudos de viabilidade e ensaios clínicos. Após os critérios de elegibilidade, foram analisados 18 artigos integralmente publicados em língua inglesa. Os estudos mostraram que a utilização de robôs na cirurgia odontológica traz mais precisão ao procedimento, diminuindo a perda de tecido, reduzindo a possibilidade de hemorragia, reduzindo possíveis cicatrizes resquiciais, e pós-cirúrgico. A cirurgia robótica em diversos âmbitos da odontologia já demonstrou alta confiabilidade permitindo desde melhor precisão até maior assertividade, além de proporcionar um acesso cirúrgico menos invasivo com dano tecidual adjacente à área de atuação relativamente menor, otimizando o procedimento cirúrgico.

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Section: Discussionunclassified

Robótica na cirurgia odontológica: Revisão integrativa

Queiroga

Falcão

Alves-Silva

et al. 2021

RSD

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“…Surgery is the main treatment employed for H&N tumors, usually indicated for initial tumors, but in some cases, replaced by isolated RT. 9 It is reserved for tumors in which resection with neoplasia-free margins and minimal functional disorder is possible, thus ensuring complete removal of the neoplasia; 10 even so, it can result in aesthetic disfigurement and significant functionality loss, which can implicate in emotional changes and social interaction impairment. 9,11 Any H&N surgery patient must undergo a prior dental checkup.…”

Section: Dental Care For Patients Undergoing Head and Neck Surgerymentioning

confidence: 99%

Strategies for the dentist management of cancer patients: narrative literature review

Antunes¹,

Alves²,

Menezes³

et al. 2021

JCPCR

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This is a narrative literature review, regarding the role of the dental surgeon in the prevention, diagnosis, and treatment of oral toxicities related to cancer treatment. A comprehensive and random search was performed for scientific articles published on the subject in question. Articles available in the Pubmed, Scielo, Cochrane, and Google Scholar databases were investigated in Portuguese and English, without a time interval specification.The research was conducted using different combinations of the following keywords: "surgery", "chemotherapy", "hematopoietic stem cell transplantation", "antiresorptive medications", "radiotherapy", "oral toxicities", "dental management" and "cancer patients". Full articles that addressed the theme, published in scientific journals, without restriction as to the methodology were included. However, book chapters and abstracts of meetings were excluded. Results and discussionThe search resulted in 100 selected articles, consisting of 3 systematic reviews with meta-analysis, 9 systematic reviews, 48 literature reviews, 3 randomized clinical trials, 4 prospective cohorts, 12 retrospective cohorts, 5 cross-sectional studies, 2 case-control studies, 5 case reports, 7 expert consensus panels, 1 letter to the editor and 1 qualitative study, published between 1976 and 2020.The articles approach dental care for patients who will be, are being, or have been subjected to surgery and radiotherapy (RT) for head and neck (H&N) cancer, chemotherapy (CT), hematopoietic stem cell transplantation (HSCT), and the use of antiresorptive medications. Dental procedures were classified according to the time of treatment: prior, during, or after each therapeutic modality addressed, when applicable.

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“…8,19 Microvascular free flaps are increasingly performed worldwide in head and neck surgery departments since the 1970s, and are associated with better functional and aesthetical outcomes compared to those used in more conservative treatments, while ensuring high flap survival rates. 20,21 They are reportedly reliable in achieving successful reconstruction of the head and neck regions, with the incidence of postoperative complications being largely related with preoperative comorbidities. 22 According to most authors, surgical re-exploration due to vascular insufficiency is necessary in less than 10% of the flaps, and necrosis of the flap occurs in only about 5% of cases.…”

Section: Introductionmentioning

confidence: 99%

Retrospective Study of 114 Free Flaps for Head and Neck Oncological Reconstruction in a Portuguese Tertiary Cancer Center

Silva

Caixeirinho²,

Vilares³

et al. 2022

Acta Med Port

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Introduction: The Portuguese experience in microsurgical reconstruction of the head and neck after oncological surgery is scantly described. The primary aim of this study was to characterize the use of microvascular reconstruction after head and neck tumor resection in a Portuguese tertiary oncological centerMaterial and Methods: The authors retrospectively evaluated 114 microvascular free flap procedures performed for head and neck reconstruction after oncological resection in a department of Head and Neck Surgery of a Portuguese tertiary oncological center. Patients were operated on from January 2012 to May 2018. Data on patient demographic features, tumour characteristics, perioperative complications, postoperative aesthetic and functional results, survival time and time to recurrence were extracted.Results: Most tumours mandating microsurgical reconstruction were mucosal squamous cell carcinomas (85%) and were located in the oral region (95.6%). Around 45% of the patients had a T4a tumour and 30% a T2 tumour. Cervical metastases were present in 45.6% of the cases. The radial forearm flap and the fibular flap were the most commonly used microsurgical reconstructive options (58% and 41%, respectively). More than 80% of patients had no post-operative complications. Partial necrosis of the flap occurred in 6.1% of patients, while total flap necrosis occurred in 3.5% of cases. Aesthetic and functional results were considered at least satisfactory in all patients in which the flaps survived.Discussion: This study is by far the largest series of microsurgical head and neck reconstruction after oncological surgery reported by a single tertiary centre in Portugal. Survival and functional benefits are similar to those reported in other large oncological centres in the world.Conclusion: Microvascular reconstruction seems like a reliable treatment option in head and neck oncological surgery at our institution.

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Review of surgical resection and reconstruction in head and neck cancer

Cited by 22 publications

References 137 publications

Robótica na cirurgia odontológica: Revisão integrativa

Robótica na cirurgia odontológica: Revisão integrativa

Strategies for the dentist management of cancer patients: narrative literature review

Retrospective Study of 114 Free Flaps for Head and Neck Oncological Reconstruction in a Portuguese Tertiary Cancer Center

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