Recently, doctors at the Department of Dentistry and Maxillofacial Surgery, E Hospital, have received and successfully operated on a patient with dangerous tongue cancer using microsurgery.
Currently, this technique is considered a high technique in plastic surgery and treatment of diseases related to maxillofacial cancer. It has been implemented by doctors at E Hospital and has saved the lives of many patients.
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| Dr. Nguyen Hong Nhung, Department of Dentistry, E Hospital examines a patient. |
Dr. Nguyen Hong Nhung, Department of Dentistry, E Hospital, said that this is the case of a female patient (70 years old, in Hanoi) who was hospitalized with a long-term tongue pain that did not improve with self-medication.
Immediately upon admitting the patient, the doctors discovered a tumor in the patient's oral cavity about 6cm in size, hard, with many lobes and cusps, infiltrating around, spreading to the back of the tongue, the base of the tongue and the floor of the left mouth. On the surface of the tumor, there were ulcers, uneven concavities, many pseudomembranes, limited tongue movement, and metastasis to the left submandibular lymph nodes...
Through clinical examination and necessary test and imaging results, doctors determined that the patient had a malignant tumor of the tongue edge/cancer of the tongue edge, so they quickly proposed a treatment plan to avoid complications that could endanger the patient's life.
Taking the medical history, the patient had a history of meningitis and hypertension. Currently, due to old age, the patient suffers from senile dementia, so the family members did not detect the illness.
According to the daughter, the patient often pointed and complained of mouth pain, so the family thought it was a toothache and took the patient to a dental clinic.
However, after examining the patient's teeth, the doctors discovered abnormalities and ordered a biopsy to screen for any possible risks.
After the biopsy results, the family was shocked to receive the diagnosis of squamous cell carcinoma. At this time, through the mass media, the family learned about the Department of Dentistry, E Hospital, which is a medical facility with a team of doctors with high professional qualifications, skills and modern medical equipment...
In this case, when admitted to the hospital, doctors from the Department of Dentistry and Maxillofacial Surgery, E Hospital, thoroughly examined the patient, performed specialized and modern tests to make an accurate diagnosis and provide a timely treatment plan to ensure the patient's safety.
Dr. Nguyen Hong Nhung, the doctor who directly performed this surgery, shared that this is one of the most common types of oral cancer, which is life-threatening to the patient.
Currently, there is no exact conclusion about the main cause of tongue cancer, however, there are some risk factors such as long-term drinking and smoking habits, poor oral hygiene, unreasonable eating habits, unsafe sex (oral), genetics...
The initial symptoms of tongue cancer are unclear and faint, often easily confused with other common oral diseases, making it difficult to detect at the early stages.
Therefore, many cases are detected at a late stage, making it difficult for doctors to treat patients.
In this patient's case, because the patient was confused, he sometimes remembered and sometimes forgot the location of the pain. The family subjectively did not think it was cancer, so they did not take the patient for timely examination.
By the time he was admitted to the hospital, the disease was already in a late stage (stage T3) with the tumor size larger than 4cm, causing complete invasion from the oral mucosa to the entire muscle layer, blood vessels and system surrounding the tongue area.
Therefore, to treat this patient, the most optimal method is to completely remove the tumor and related areas, then create a microsurgical flap for the patient's tongue.
Surgeons performed a wide excision of the cancerous mass of the floor of the mouth and half of the tongue, along with neck lymph node dissection to prevent the tumor from invading other areas.
After the tumor was removed, a large defect was left in the tongue and the floor of the mouth. This defect needed to be reconstructed with a microsurgical vascularized tissue flap. Next, the process of reconstructing the tongue and floor of the mouth for the patient, because of the widespread nature of the cancer and the removal of half of the tongue, could not be reconstructed with a local flap.
Therefore, the surgical team chose to use a skin flap from the right arm to shape the tongue. The flap was dissected with a long vascular pedicle, then cut off and transferred to the oral cavity to shape the tongue and floor of the mouth. The vascular pedicle of the flap was threaded under the skin, over the lower jaw bone to the neck area.
Dr. Nguyen Hong Nhung added that such microplastic surgeries usually last about 8 - 10 hours. After surgery, patients can stop suffering from pain, practice swallowing, practice speaking and return to normal life.
Currently, doctors at E Hospital have applied microsurgical flap plastic surgery techniques to treat many cases of diseases related to maxillofacial cancer, especially oral cancer, with many good results, bringing high treatment efficiency to cancer patients, while helping to restore function, anatomy, aesthetics as well as psychology, improving the quality of life for patients.
Dr. Nguyen Hong Nhung recommends that early signs of tongue cancer are often quite faint and easily overlooked, early detection of the disease has a great impact on treatment outcomes.
Therefore, when experiencing any unusual symptoms in the tongue, cheeks, or any part of the oral cavity... you should immediately go to a reputable medical facility for timely examination and treatment.
In addition, people at high risk of the disease should also be screened regularly for cancer to detect the disease early. Especially people over 40 years old, with a history of smoking, drinking alcohol and people with unsafe sex habits... need to be screened for tongue cancer.
Source: https://baodautu.vn/phau-thuat-vi-phau-cuu-benh-nhan-ung-thu-luoi-d225056.html
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