The value of modern surgery in multidisciplinary and comprehensive treatment of head and neck cancer

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Chao Li, Yuqiu Zhou, Chunyan Shui, Lu Huang, Yongcong Cai, Ronghao Sun, Wei Wang, Jing Tu and Qiaoli Li

Sichuan Cancer Hospital & Institute, China

: J Otol Rhinol

Abstract

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Objectives: This study was to 1) explore the value of modern surgery in multidisciplinary team (Multidisciplinary team, MDT) of head and neck cancer (HNC), 2) elaborate the surgery development in HNC, including radical treatment at the beginning, salvage surgery of the late recurrence or palliative patients, repair and reconstruction of defect and function, 3) preliminarily discuss the application of modern techniques to HNC, such as computer aided design and manufacturing (CAD/CAM), 3D printing technology and virtual real (VR). Methods: The medical records of HNC patients, who experienced MDT consultation since the past 15 years in our hospital were collected. The value of surgery in MDT, especially the status of surgery in advanced and recurrence HNC treatment, was retrospectively analyzed. The application of modern techniques to HNC was also preliminarily discussed. Results: Compared with the previous single-disciplinary model, MDT has greatly improved the quality and optimized the process of diagnosis and treatment of patients with HNC. MDT is beneficial to the correct implementation of the stratification strategy and individualized therapy, which makes the practice of comprehensive treatment more reasonable and operable. Surgery is the initial radical treatment of most of HNC. The salvage surgery and the repair and one stage reconstruction of defect and function after radiotherapy and chemotherapy have irreplaceable advantages. Modern science and technology can help to improve the surgical efficiency, safety and treatment accuracy. Conclusions: MDT can maximize the advantages of various disciplines and the collaboration of multi-disciplines, which is meaningful for HNC patients to be standardized and individualized, and treated. Surgery, especially salvage surgery and reparative and reconstructive surgery, plays an irreplaceable role in the comprehensive and individualized diagnosis and treatment of HNC patients. CAD/CAM, 3D printing technology and VR can improve the surgical efficiency, safety and treatment accuracy.

Biography

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Chao Li works as the Director in the Department of Head & Neck Surgery of Sichuan Cancer Hospital & Institute. He has been working as a Doctor in prevention and treatment of head and neck surgery for more than 10 years. He is an expert in head and neck cancer surgery and one of academic leaders of Sichuan Provincial Health and Family Planning Commission. He can perform surgical treatments for various types of head and neck tumors with high quality, especially in the comprehensive treatment of advanced tumors and the first stage of tumor defect and function restriction in the head and neck.