A collaborative approach to head and neck carcinoma for oral surgeons, head and neck surgeons, and plastic surgeons: The role of oral surgeons in two cases

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  • Mizukawa Nobuyoshi
    Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Hospital
  • Tominaga Susumu
    Department of Otorhinolaryngology and Head & Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Kimata Yoshihiro
    Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Onoda Tomoo
    Department of Otorhinolaryngology and Head & Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Nomiya Shigenobu
    Department of Otorhinolaryngology and Head & Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Sugiyama Narushi
    Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Kawamoto Tomoaki
    Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Yamachika Eiki
    Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Ueno Takaaki
    Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Takagi Shin
    Department of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

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Other Title
  • 頭頸部癌における耳鼻咽喉科，形成外科，口腔外科３科合同手術の意義：２症例における口腔外科の役割を中心に
  • 症例報告 頭頸部癌における耳鼻咽喉科,形成外科,口腔外科3科合同手術の意義--2症例における口腔外科の役割を中心に
  • ショウレイ ホウコク トウケイブ ガン ニ オケル ジビ インコウカ ケイセイ ゲカ コウクウ ゲカ 3カ ゴウドウ シュジュツ ノ イギ 2 ショウレイ ニ オケル コウクウ ゲカ ノ ヤクワリ オ チュウシン ニ

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Abstract

There is a medical team approach used in many hospitals for oral cancer patients. The members are head & neck surgeons and plastic surgeons, or oral surgeons and plastic surgeons. However, in Japan, it is very difficult for oral surgeons to cooperate with head & neck surgeons, except in the case of extractions and oral health care, because both surgeons treat oral carcinomas and there is therefore a conflict in their scope of practice. We believe it desirable for head & neck surgeons to treat oral cancer patients with tumors extending to other regions, and oral surgeons should be in charge of occlusion in head and neck carcinomas. We treated two patients with oral carcinomas in collaboration with head and neck surgeons and plastic surgeons, with head & neck surgeons resecting the tumors, plastic surgeons reconstructing, and oral surgeons (dentists) taking charge of the occlusion for patients in the operating room. This collaboration resulted in patients having good position of the temporomandibular joint and occlusions after the operation. We therefore conclude that this collaborative team approach may be of benefit to the patients.

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