Swallowing outcomes following primary surgical resection and primary free flap reconstruction for oral and oropharyngeal squamous cell carcinomas: A systematic review

Kao, Stephen Shih-Teng; Peters, Micah D J; Krishnan, S.; Ooi, Eng H.

doi:10.1002/lary.25894

Cited by 42 publications

(26 citation statements)

References 46 publications

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“…In addition, an oncological sound resection must be performed, meaning the surgeon must not compromise the completeness of the excision of the tumor, even if a larger or more challenging defect for a reconstruction may result. Besides pedicled flaps, microvascular free tissue transfer offers distinct advantages in head and neck reconstruction in particular for scalp, facial, oral cavity, osteo-cutaneous, and pharyngeal defects (51)(52)(53)(54).…”

Section: What Is "Best Practice" In Head and Neck Surgery: Upper Aeromentioning

confidence: 99%

Best Practice in Surgical Treatment of Malignant Head and Neck Tumors

et al. 2020

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Purpose of review: Defining the best practice of surgical care for patients affected by malignant head and neck tumors is of great importance. In this review we aim to describe the evolution of "best practice" guidelines in the context of quality-of-care measures and discuss current evidence on "best practice" for the surgical treatment of cancers of the sino-nasal tract, skull base, aero-digestive tract, and the neck. Recent findings: Current evidence based on certain structure and outcome indicators, but mostly based on process indicators already helps defining the framework of "Best practice" for head and neck cancer surgery. However, many aspects of surgical treatment still require in-depth research. Summary: While a framework of "Best practice" strategies already exists for the conduction of the surgical treatment of head and neck cancers, many questions still require additional research in particular in case of rare histologies in the head and neck region.

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Section: What Is "Best Practice" In Head and Neck Surgery: Upper Aeromentioning

confidence: 99%

Best Practice in Surgical Treatment of Malignant Head and Neck Tumors

et al. 2020

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“…Microvascular free flap is the primarily recommended reconstructive method for most of the oral soft tissue defects that need tissue transfer, while local or regional flap methods may be indicated in specific situations [246]. Although many studies have investigated functional outcomes following treatment of oral soft tissue reconstruction, high-quality level I evidence is still lacking due to a limitation of the standardized approach, pertaining to functional assessment [247]. To date, there have been several systematic reviews and prospective cohort studies that have addressed these issues.…”

Section: Guidelines For Surgical Treatment Of Oral Cancermentioning

confidence: 99%

Guidelines for the Surgical Management of Oral Cancer: Korean Society of Thyroid-Head and Neck Surgery

Joo

Cho

Koo

et al. 2019

Clin Exp Otorhinolaryngol

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Korean Society of Thyroid-Head and Neck Surgery appointed a Task Force to provide guidance on the implementation of a surgical treatment of oral cancer. MEDLINE databases were searched for articles on subjects related to “surgical management of oral cancer” published in English. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. The quality of evidence was rated with use RoBANS (Risk of Bias Assessment Tool for Nonrandomized Studies) and AMSTAR (A Measurement Tool to Assess the Methodological Quality of Systematic Reviews). Evidence-based recommendations for practice were ranked according to the American College of Physicians grading system. Additional directives are provided as expert opinions and Delphi questionnaire when insufficient evidence existed. The Committee developed 68 evidence-based recommendations in 34 categories intended to assist clinicians and patients and counselors, and health policy-makers. Proper surgical treatment selection for oral cancer, which is directed by patient- and subsite-specific factors, remains the greatest predictor of successful treatment outcomes. These guidelines are intended for use in conjunction with the individual patient’s treatment goals.

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“…Surgical resections interrupting the floor-of-mouth or suprahyoid musculature and those necessitating flap reconstruction come with increased risk of aspiration and extended length of recovery, as opposed to a small, focal, oral resection with a primary closure or locally advanced tissue flap. [39][40][41] In patients deemed high risk for pulmonary complications arising from aspiration (e.g., those with chronic obstructive pulmonary disease), clinicians might also consider baseline pulmonary measures such as vital capacity, peak expiratory pressure, and cough reflex testing. 42 While humble, a simple peak flow meter and disposable filters can be a meaningful addition to the dysphagia clinician's toolset.…”

Section: Slp Management Of the Surgical Head And Neck Cancer Patientmentioning

confidence: 99%

Clinical Decision Making with Head and Neck Cancer Patients with Dysphagia

Starmer¹,

Edwards²

2019

Semin Speech Lang

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Dysphagia is a common challenge faced by patients with head and neck cancer. Management of these patients is quite distinct from many other dysphagia etiologies due to the nature of surgical removal of organs critical to swallowing, the ability to provide preventative therapies, and the variable risk for complications related to dysphagia. Thus, clinicians providing care to the head and neck cancer population need to understand these differences when employing clinical decision making. In addition, changes in the demographics of head and neck cancer, related predominantly to the epidemic of oropharyngeal cancer associated with the human papillomavirus, have further transformed both the types of patients and the types of treatments offered. These epidemiologic factors further complicate the decision-making process for clinicians. This article provides a framework for decision making in the surgical and nonsurgical patient with head and neck cancer.

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Swallowing outcomes following primary surgical resection and primary free flap reconstruction for oral and oropharyngeal squamous cell carcinomas: A systematic review

Abstract: N/A. Laryngoscope, 126:1572-1580, 2016.

Cited by 42 publications

References 46 publications

Best Practice in Surgical Treatment of Malignant Head and Neck Tumors

Best Practice in Surgical Treatment of Malignant Head and Neck Tumors

Guidelines for the Surgical Management of Oral Cancer: Korean Society of Thyroid-Head and Neck Surgery

Clinical Decision Making with Head and Neck Cancer Patients with Dysphagia

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