Chinanews.com, Guangzhou, May 11 (Cai Minjie and Zhang Yang) Recently, when 100-year-old grandmother Liu (pseudonym) attended the wedding of her great-grandson, it was hard for anyone to imagine her red-faced face. She was diagnosed with left cheek squamous cell carcinoma a few months ago and underwent a successful radical operation for oral cancer at the age of 100. The team of Associate Professor Fan Song from the Department of Oral and Maxillofacial Surgery of Sun Yat-sen Memorial Hospital of Sun Yat-sen University performed radical resection of oral cancer for Granny Liu, and performed free flap repair at the same time. “If you have oral cancer, you don’t have to give up treatment because of your advanced age,” Fan Song said.
According to the memories of Mrs. Liu’s family, the old man found a white plaque on the left cheek with ulceration six months ago, but she thought it was a common oral ulcer, and she did not tell her family and did not seek medical treatment in time. Later, the family found an obvious cauliflower-like mass on Granny Liu’s left cheek, so they took Granny Liu to Sun Yat-sen Memorial Hospital of Sun Yat-sen University for treatment.
Fan Song introduced that during an outpatient examination, Granny Liu found a cauliflower-like mass of 4.5×3 cm in size on the left cheek.
After Granny Liu was admitted to the hospital, Fan Song’s team conducted multidisciplinary consultations with experts in cardiovascular medicine, anesthesiology, medical oncology, ICU and nutrition. Obtain the understanding and consent of Mrs. Liu and her family.
During the operation, the expert team performed extended excision of left cheek cancer and left neck lymph node dissection for Granny Liu. Simultaneous repair of the left intraoral mucosa and buccal skin was performed with the lateral flap.
Due to Granny Liu’s severe carotid arteriosclerosis, Fan Song replaced the anastomotic carotid artery three times during the operation, and finally used the external carotid artery anastomosis to successfully make the flap have a good blood supply.
Mr. Liu recovered well after the operation and was discharged 10 days after the operation. According to her family, Granny Liu has been able to eat normally recently and attended the wedding of her great-grandson.
According to Fan Song, oral squamous cell carcinoma is a common oral and maxillofacial malignancy, which can lead to oral and maxillofacial ulceration and bleeding, restricted mouth opening, seriously affect patients’ eating and speech, and endanger patients. life. Oral cancer surgery has a large trauma, and the resected tissues and organs need to be repaired at the same time, otherwise the quality of life of the patients will be seriously affected.
How to prevent oral cancer in daily life? Fan Song reminded that it is best to have an oral examination every six months, and avoid eating too irritating food. At the same time, it is necessary to remove adverse oral irritants in time, such as residual crowns, residual roots and bad restorations; stay away from high-risk factors for cancer, such as betel nut chewing, long-term smoking and excessive drinking; timely treatment, such as oral white plaque, erythema or Tumor to actively seek medical treatment. “Mr. Liu is an oral cancer caused by malignant vitiligo, so if you find vitiligo or oral ulcers that do not heal for more than two weeks, you should actively seek medical treatment.” Fan Song said. (End)
[Editor: Liu Huan]