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Otorinolaringologia 2015 June;65(2):27-42

Copyright © 2015 EDIZIONI MINERVA MEDICA

language: English

Management principles and new therapies for head and neck cancer

Goessler U. R.

Department Of Otolaryngology/Head and Neck Surgery, Frankfurt, Germany


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The treatment of malignancies in the head and neck region remains a vexing task for treating physician and patient alike as the treatment modality often has to bridge the gap between oncologically sound radicality and preservation of function. Due to the increase in transoral laser surgery in early tumor stages and chemoradiation in advanced stages, the usage of traditional transcutaneous wide resections has decreased in the past. In addition, the aim of a function-sparing surgical approach as well as highest possible quality of life has grown become more important. However, due to the primary usage of transcutaneous radiotherapy with possible failure as well as the need for treatment of very large lesions there is still a role for for traditional transcutaneous approaches to the treatment of oral, oropharyngeal, laryngeal and hypopharyngeal malignancies. In addition, in modern treatment strategies the role of reconstruction cannot be overstated.

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