tongue – Page 3 – Oral Cancer News

Skin from her arm gives woman a new tongue

Source: www.wptv.com Author: Amanda Kahan Getting her kids out the door, in the car, and to school is a daily mission for mom Lisa Bourdon-Krause. It's also one she doesn't take for granted. A few years ago, Lisa was diagnosed with tongue cancer. Doctors said surgery would mean removing half of Lisa's tongue. One of her doctors told her she might not ever talk again. At the time, Lisa's son was just two. She didn't know if he'd hear his mom's voice again, so she recorded herself. Thanks to surgeon, Douglas Chepeha, Lisa never had to give her son those recordings. In a 10-hour surgery, surgeons cut out the cancerous part of Lisa's tongue. Then, doctor Douglas Chepeha took skin from her own forearm and attached it to her tongue -- using a pattern as a guide. The result: A tongue that looked and felt much like the real thing. Lisa was able to talk a few days after her surgery. After a couple of weeks, she could eat. It was a relief -- but not the biggest one for Lisa. A mom who's grateful for every moment -- and every word she can speak. Background: According to the Mayo Clinic, tongue cancer is a serious type of head and neck cancer. It usually appears as squamous cells (a lump, white spot or ulcer) on the outer layer of the tongue. When it's caught early, tongue cancer is highly curable. When the cancer forms in the front two-thirds of the [...]

Oral Cancer Foundation News Team - A2011-04-03T10:07:02-07:00April, 2011|Oral Cancer News|

Dentists don’t need tools to screen for oral cancer

Source: auburnpub.com Author: Dr. Michael Keating A comment from a patient the other day inspired this month’s topic. I had gone down to the room of one of the hygienists on my team to examine a patient at their six-month preventive therapy visit. I sat down and began examining the skin of the face and neck when the patient asked me what exactly I was looking for. It made me think. Maybe our patients don’t know what we are looking for as we dentists examine them. The exam is much more than coming in, picking up a mirror and explorer and checking just the teeth. Each dentist has their own method and technique of performing the exam. Rest assured, this important step is not missed. So what is it I am looking for? This particular patient that prompted me to discuss oral cancer asked me the question as I was looking along their hairline and lifting back their bangs so I could examine the scalp and forehead. If you were to look at the Skin Cancer Foundation website (www.skincancer.org) you would find that basal cell carcinoma is found mainly on the face, scalp, ears, neck, shoulders and back. Let’s see, four out of six of those are right front and center to me when I go to look at a patient at their recall exam. Sure makes sense for me to check! So for this patient I told them I was looking for any signs of skin cancer, and if [...]

Oral Cancer Foundation News Team - A2010-09-30T14:04:25-07:00September, 2010|Oral Cancer News|

Doctors study link between oral cancer and HPV – suggest males should also be vaccinated

Source: www.theprovince.com Author: Iris Winston, Canwest News Service Oral cancer brings to mind images of longtime chain smokers and grizzled tobacco chewers. But the risk factors for cancers of the mouth and throat now include sexual activity as well as all forms of tobacco use and alcohol consumption. "Over the 20 years I have been in practice, I have treated a few rodeo riders and baseball players who use chewing tobacco or snuff, as well as smokers," says Dr. Joseph Dort, a professor of head and neck surgery at the University of Calgary's faculty of medicine and president of the Canadian Society of Otolaryngology. "Classically, people think of oral cancer as something that occurs in smokers and drinkers and usually among people in their 50s, 60s or even older. But, over the last 10 years or so, we have become aware that the human papillomavirus (HPV) -- the same virus that is associated with cervical cancer -- has now been strongly associated with certain kinds of head and neck cancer, specifically the tonsil and tongue-based cancers, and that they are becoming more prevalent in people who are younger than the usual cohort." Dr. Linda Lee, a specialist in oral pathology and oral medicine who is the staff dentist at Toronto's Princess Margaret Hospital, has seen a similar trend. "Because people are smoking less, we would expect to see a decline in oral cancer," she says, "but it hasn't declined and this is probably because of the HPV factor. We have [...]

Oral Cancer Foundation News Team - A2010-05-16T17:30:33-07:00May, 2010|Oral Cancer News|

Surgeons carry out world’s first face, jaw and tongue transplant

Source: www.mirror.co.uk Author: staff Surgeons have successfully carried out the world's first face, jaw and tongue transplant. They spent 16 hours operating on a man of 43 whose face had been horribly disfigured by radiotherapy for a tumour 11 years ago. The patient will eventually be able to eat, taste, swallow and speak again. Pedro Cavadas, who led 30 Spanish medics in Valencia in the day-long op, said yesterday: "The patient's seen himself and is delighted." The case was marred by controversy after authorities released details about the donor against his family's wishes. French woman Isabelle Dinoire received the first face transplant four years ago after losing her nose, lips and chin when a dog mauled her.

Oral Cancer Foundation News Team - A2009-08-22T05:37:19-07:00August, 2009|Oral Cancer News|

Laser microsurgery for tongue cancer is as effective as invasive open surgery, according to new study

Source: www.sciencedaily.com Author: press release Transoral (through-the-mouth) laser surgery to remove cancer at the base of the tongue is as effective as more invasive open surgery and may improve quality of life according to a new study by Rush University Medical Center. The study is published in the July issue of the scientific journal Otolaryngology –Head and Neck Surgery. The study involved a retrospective chart review of 71 patients who underwent transoral laser microsurgery for squamous cell carcinoma of the base of the tongue. At 24 months, overall survival was 90 percent and disease specific survival was 94 percent. Quality-of-life data, obtained for 46 patients, revealed the majority had mild or no pain, minimally impaired to normal swallowing, and normal speech. Historically, the tongue base could only be safely accessed through complicated open surgical approaches through the neck. Delicate structures in the neck, such as the voice box, the trachea, the esophagus, lymph nodes, muscles and large nerves make surgical resection difficult with significant complications including speech and swallowing impairment. Advances in transoral laser microsurgery have transformed the surgeon's ability to treat cancer that was not otherwise amenable to surgical therapy. The surgery is performed through the opening of the mouth using an endoscope with a lighted camera and microscopic lens to view the area. Using a CO-2 laser and micro-staging, surgeons carefully remove the tumor in small pieces minimizing disruption to nearby tissues, thereby reducing complications and the likelihood of infections. With magnification of normal and abnormal tissue the [...]

Oral Cancer Foundation News Team - A2009-07-21T04:17:23-07:00July, 2009|Oral Cancer News|

High dosage brachytherapy obtains excellent results in head and neck tumors

Source: www.health.am/cr Author: staff High-dosage perioperative brachytherapy (applied within the surgical process) obtains excellent results in the treatment of head and neck tumours, at the same time as reducing the period of radiation. These are the conclusions of research undertaken jointly by three Departments at the University of Navarra Hospital and which was published in the latest issue of Brachytherapy, official journal of the American Society of Brachytherapy. The work describes the application of this new radiotherapy technique to 40 patients between 2000 and 2006. Given the size of the sample, the article is a description of the greatest number of patients treated with high-dosage brachytherapy for head and neck tumours in world medical literature. According to results, after a seven-year follow-up, the illness was controlled in 86% of the cases and the percentage of survival was 52%. In concrete, the research focused on the treatment of tumours in the oral cavity, those affecting the tongue and the floor of the mouth, and those in the oropharyngeal region, such as tumours of the tonsils. Involved in the study was a multidisciplinary team of seven specialists from three departments at the University of Navarra Hospital: the Radiotherapy Department, the Department of Oral and Maxillofacial Surgery and the Ear, Nose and Throat Department. Intensifying radiation dosage As is known, brachytherapy is a radiotherapy treatment involving the placing of radioactive sources within the tumour or nearby. In the case in hand, the work analysed the application of brachytherapy as complementary post-surgery treatment, explained [...]

Oral Cancer Foundation News Team - A2009-03-30T19:22:09-07:00March, 2009|Oral Cancer News|

Sweetest word for a mother to hear

Source: www.journallive.co.uk Author: Neil MacKay It is a memorable moment in any mother’s life when her child utters their first word. But when Daniel Sewell said “Mam” for the first time it was an extra special for his mum Alison. For Daniel was given a “new” tongue during pioneering surgery for mouth cancer at Newcastle’s Royal Victoria Infirmary more than three years ago, and doctors warned Alison that he may never talk properly. Surgeons had to take out three-quarters of his tongue and replace it with muscle from his abdominal lining. Now, after three years in remission, four-year-old Daniel is a happy, talkative primary school pupil. Both he and Alison, 43, of Coronation Street, Crook, County Durham, are backing the British Dental Health Foundation’s Mouth Cancer Action Week, which runs next week. Daniel’s father Richard spotted his badly swollen tongue when he was 13 months old and his quick action saved the tot’s life – early detection of oral cancer means a survival chance of 90%. Alison said: “I was just as ignorant as anyone about mouth cancer. I always presumed it was about the older generation and was linked with smoking and the like. “When we found out Daniel had cancer, we had the shock of our lives. It was so hard for the first few weeks and we didn’t know which way it was going to go. If we hadn’t noticed when we did I really don’t think he would have made it. Mouth cancer is a silent [...]

Oral Cancer Foundation News Team - A2008-11-16T07:46:00-07:00November, 2008|Oral Cancer News|

Microvascular free tissue transfer for tongue reconstruction after hemiglossectomy: a functional assessment of radial forearm versus anterolateral thigh flap

Source: J Oral Maxillofac Surg, November 1, 2008; 66(11): 2270-5 Authors: JC de Vicente et al. Purpose: The purpose of this study was to evaluate tongue function and donor site morbidity in patients with oral cancer surgically treated and reconstructed with radial or anterolateral thigh free flaps. Patients and Methds: Twenty patients underwent primary reconstruction after hemiglossectomy between January 2002 and June 2004. Ten patients were reconstructed using a free forearm flap and the remaining with an anterolateral thigh flap. Eight patients on each group underwent postoperative radiotherapy (average, 60 Gy). All of them were followed postoperatively to determine after 6 months their functional outcome as it related to speech, deglutition, tongue mobility, and donor site morbidity. The intelligibility, deglutition, and tongue mobility were each scored on a scale ranging from 1 to 7 by an independent investigator. Data were analyzed by the 2-tail Mann-Whitney U test. Results: No differences in mean speech intelligibility, tongue mobility, or deglutition mean scores were seen between radial forearm flap and anterolateral thigh flap (P > .05). In all anterolateral thigh flap-treated cases, the donor site was closed directly and no complications were seen. However, in all forearm flaps donor site closure was carried out with skin grafts and dorsal forearm splinting was applied for 1 week postoperatively. In 4 cases a partial skin graft failure was observed and donor sites healed for second intention. Conclusion: Anterolateral thigh flap, with its versatility in design, long pedicle with a suitable vessel diameter, and low donor [...]

Oral Cancer Foundation News Team - A2008-11-03T09:37:01-07:00November, 2008|Oral Cancer News|