China Journal of Oral and Maxillofacial Surgery ›› 2024, Vol. 22 ›› Issue (6): 521-528.doi: 10.19438/j.cjoms.2024.06.001

• Expert Consensus • Previous Articles     Next Articles

Chinese expert consensus on salvage surgery for advanced or recurrent oral(oropharyngeal) cancers

HE Yue1, ZHU Feng-shuo1, MA Chun-yue1, HE Jie1, WANG Yan-an1, LI Jin-song2, LIU Bing3, JIANG Can-hua4, HOU Jin-song5, PENG Xin6, HE Pei-jie7, ZHANG Dong-sheng8, WANG Jun9, LIU Xi-qiang10, YANG Hong-yu11, CHEN Chao-gang12, WU Yi-qun13, YAO Yuan14, SU Li-xin15, LIU Feng16, MA Yu-bo17, ZHU Ling18, WEN Hong-mei19, HUANG Qiu-yu5   

  1. 1. Department of Oromaxillofacial Head and Neck 0neology, Shanghai Ninth People's Hospital, Shanghai jiao Tong University School of Medicine; College of Stomatology, Shanghai jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology. Shanghai 200011;
    2. Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University. Guangzhou 510120, Guangdong Province;
    3. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Wuhan University. Wuhan 430070, Hubei Province;
    4. Department of Oral and Maxillofacial Surgery, Xiangya Hospital Central South University. Changsha 410008, Hunan Province;
    5. Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University. Guangzhou 510055, Guangdong Province;
    6. Department of Oral and Maxillofacial Surgery, Peking University Hospital of Stomatology. Beijing 10008l;
    7. Department of ENT, The Eye and ENT Hospital of Fudan University. Shanghai 200031;
    8. Department of Oral and Maxillofacial Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University. Jinan 250021, Shandong Province;
    9. Department of Head and Neck Oncology, Gansu Provincial Cancer Hospital. Lanzhou 730050, Gansu Province;
    10. Department of Stomatology, Nanfang Hospital, Southern Medical University. Guangzhou 510515, Guangdong Province;
    11. Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital. Shenzhen 518036, Guangdong Province;
    12. Department of Clinical Nutrition, Sun Yat-sen Memorial Hospital, Sun Yat-sen University. Guangzhou 510120, Guangdong Province;
    13. Department of Neurosurgery, 14. Department of Radiology, 15. Department of Intervention, 16. Department of Oncology,17. Department of Nuclear Medicine,18. Department of Medical Imaging, Shanghai Ninth People's Hospital, Shanghai jiao Tong University School of Medicine. Shanghai 200011;
    19. Department of Rehabilitation Medicine, Third Affiliated Hospital of Sun Yat-sen University. Guangzhou 510630, Guangdong Province, China
  • Received:2024-03-19 Revised:2024-09-08 Online:2024-11-20 Published:2024-12-11

Abstract: Oral(oropharyngeal) cancer is a type of malignant tumors of the head and neck with the highest incidence. Many patients have been clinically advanced, and most of them need to be treated by surgery combined with radiotherapy and chemotherapy. Many patients with oral(oropharyngeal) cancer will have local recurrence or metastasis after the first surgical or chemoradiotherapy, and the second treatment is more difficult with the poor prognosis. How to effectively treat these patients with advanced or recurrent oral(oropharyngeal) cancer has become the focus of clinical attention. However, there is no basis to follow about how to carry out therapeutic surgical treatment, and non-standard diagnosis and treatment are also common. Therefore, we formulated this consensus in the fields of definition, indications, perioperative evaluation, surgical classification, adjuvant therapy, functional rehabilitation and other fields of advanced or recurrent oral (oropharyngeal) cancer, based on evidence-based medical evidence and national maxillofacial head and neck surgery expert suggestion, for reference by oral and maxillofacial, and head & neck surgeons across the country.

Key words: Oral cancer, Oropharyngeal cancer, Salvage surgery, Expert consensus

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