Timing of edentulation and extraction in the management of oral cavity and oropharyngeal malignancies
Identifieur interne : 00A442 ( Main/Merge ); précédent : 00A441; suivant : 00A443Timing of edentulation and extraction in the management of oral cavity and oropharyngeal malignancies
Auteurs : T. D. Doerr [États-Unis] ; M. T. MarunickSource :
- Head & neck [ 1043-3074 ] ; 1997.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
Background Pretreatment dental evaluation is an essential element in the management of the head and neck cancer patient. Frequently, the dental condition requires edentulation or multiple extractions prior to radiotherapy. These extractions may be carried out at the time of oncologic resection. Such,practice is routine for some surgeons but resisted by others who fear increased postoperative wound complications. To date, no study evaluating the safety and efficacy of extractions at the time of surgical resection has been reported. This paper retrospectively examines the postoperative course of head and neck cancer patients with varying strategies of dental management. Methods. Retrospective analysis of patients with surgically treated oral cavity or oropharyngeal malignancies and dental extractions or edentulation at a tertiary oncology center from 1985 to 1994 was made. Postoperative wound infection, fistula, and length of stay data were compared for patients undergoing concurrent extraction and those having dental extractions in the postoperative period. Results. Thirty-two patients underwent ablative resection with concurrent extraction, whereas 23 had postsurgical extractions. The infection and fistula rates were 16% and 9% in the concurrent group and 35% and 26% for patients having postsurgical extractions. Mean postoperative stays were significantly shorter for patients undergoing concurrent extraction (15 ± 8 days) compared with those of the postsurgical group (27 ± 14 days). Conclusions. Patients whose extractions were performed concurrent with the oncologic resection experienced fewer postoperative wound complications and had significantly shorter postoperative hospitalizations than did the postsurgical group.
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Pascal:97-0398378Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Timing of edentulation and extraction in the management of oral cavity and oropharyngeal malignancies</title><author><name sortKey="Doerr, T D" sort="Doerr, T D" uniqKey="Doerr T" first="T. D." last="Doerr">T. D. Doerr</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine</s1><s2>Detroit, Michigan</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Harper Hospital, 5E-UHC 4201 St. Antoine</s1><s2>Detroit, Michigan 48201</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>Detroit, Michigan 48201</wicri:noRegion></affiliation></author><author><name sortKey="Marunick, M T" sort="Marunick, M T" uniqKey="Marunick M" first="M. T." last="Marunick">M. T. 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Doerr</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine</s1><s2>Detroit, Michigan</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Harper Hospital, 5E-UHC 4201 St. Antoine</s1><s2>Detroit, Michigan 48201</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>Detroit, Michigan 48201</wicri:noRegion></affiliation></author><author><name sortKey="Marunick, M T" sort="Marunick, M T" uniqKey="Marunick M" first="M. T." last="Marunick">M. T. Marunick</name></author></analytic><series><title level="j" type="main">Head & neck</title><title level="j" type="abbreviated">Head neck</title><idno type="ISSN">1043-3074</idno><imprint><date when="1997">1997</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Head & neck</title><title level="j" type="abbreviated">Head neck</title><idno type="ISSN">1043-3074</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Exeresis</term><term>Extraction</term><term>Human</term><term>Malignant tumor</term><term>Oropharynx</term><term>Radiotherapy</term><term>Retrospective</term><term>Timing</term><term>Tooth</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Tumeur maligne</term><term>Oropharynx</term><term>Extraction</term><term>Dent</term><term>Timing</term><term>Exérèse</term><term>Radiothérapie</term><term>Rétrospective</term><term>Traitement</term><term>Homme</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background Pretreatment dental evaluation is an essential element in the management of the head and neck cancer patient. Frequently, the dental condition requires edentulation or multiple extractions prior to radiotherapy. These extractions may be carried out at the time of oncologic resection. Such,practice is routine for some surgeons but resisted by others who fear increased postoperative wound complications. To date, no study evaluating the safety and efficacy of extractions at the time of surgical resection has been reported. This paper retrospectively examines the postoperative course of head and neck cancer patients with varying strategies of dental management. Methods. Retrospective analysis of patients with surgically treated oral cavity or oropharyngeal malignancies and dental extractions or edentulation at a tertiary oncology center from 1985 to 1994 was made. Postoperative wound infection, fistula, and length of stay data were compared for patients undergoing concurrent extraction and those having dental extractions in the postoperative period. Results. Thirty-two patients underwent ablative resection with concurrent extraction, whereas 23 had postsurgical extractions. The infection and fistula rates were 16% and 9% in the concurrent group and 35% and 26% for patients having postsurgical extractions. Mean postoperative stays were significantly shorter for patients undergoing concurrent extraction (15 ± 8 days) compared with those of the postsurgical group (27 ± 14 days). Conclusions. Patients whose extractions were performed concurrent with the oncologic resection experienced fewer postoperative wound complications and had significantly shorter postoperative hospitalizations than did the postsurgical group.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Michigan</li></region></list><tree><noCountry><name sortKey="Marunick, M T" sort="Marunick, M T" uniqKey="Marunick M" first="M. T." last="Marunick">M. T. Marunick</name></noCountry><country name="États-Unis"><region name="Michigan"><name sortKey="Doerr, T D" sort="Doerr, T D" uniqKey="Doerr T" first="T. D." last="Doerr">T. D. Doerr</name></region><name sortKey="Doerr, T D" sort="Doerr, T D" uniqKey="Doerr T" first="T. D." last="Doerr">T. D. Doerr</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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