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Chapter 133 - Surgical treatment of head and neck cancer

from Section 25 - Otolaryngologic Surgery

Published online by Cambridge University Press:  05 September 2013

Michael F. Lubin
Affiliation:
Emory University, Atlanta
Thomas F. Dodson
Affiliation:
Emory University, Atlanta
Neil H. Winawer
Affiliation:
Emory University, Atlanta
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Summary

Head and neck cancer comprises about 3–6% of all cancers in the USA. Despite the relatively small numbers, it can have great effects on appearance and affects important functions of daily living, such as speech and swallowing. For the purposes of this discussion, only the oral cavity, pharynx, larynx, and the neck will be covered.

The treatment of head and neck cancer is best undertaken by a multidisciplinary team of physicians and others, including head and neck surgeons, oral surgeons, medical oncologists, radiation oncologists, and diagnostic radiologists. Other important members of the team include speech and swallowing therapists, nurses and nurse practitioners, dieticians, social workers, and physician assistants. The team usually meets regularly to discuss the patients who have been seen recently or to discuss follow-up and status of patients after treatment. The multidisciplinary approach provides the patient with a comprehensive plan developed from many different perspectives. The treatment of a patient with head and neck cancer is frequently demanding, regardless of the method; careful attention to detail and to the subtleties of treatment is necessary to optimize the outcome.

Type
Chapter
Information
Medical Management of the Surgical Patient
A Textbook of Perioperative Medicine
, pp. 770 - 772
Publisher: Cambridge University Press
Print publication year: 2013

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References

Close, L, Shah, J, Larson, D, eds. Essentials of Head and Neck Oncology. New York, NY: Thieme Medical Publishers; 1998.Google Scholar
DSouza, G, Kreimer, AR, Viscidi, R et al. Case-control study of human papilloma virus and oropharyngeal cancer. N Engl J Med 2007; 356: 1944–56.CrossRefGoogle Scholar
Jemal, A, Siegel, R, Ward, E et al. Cancer statistics, 2006. Cancer 2006; 56: 106–30.Google ScholarPubMed
Pazdur, R, Wagman, LD, Camphausen, KA, Hoskins, WJ, eds. Cancer Management: A Multidisciplinary Approach: Medical, Surgical & Radiation Oncology. 13th edn. London: UBM Medica; 2010.Google Scholar
Srinivasan, A, Mohan, S, Mukherji, SK.Biologic imaging of head and neck cancer: the present and the future. AJNR Am J Neuroradiol 2012; 33: 586–94.CrossRefGoogle ScholarPubMed

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