A man in Shanwei, Guangdong Province, found a piece of "meat" growing on his left gum more than a month ago, thinking it was "on fire" or periodontitis. Unexpectedly, the mass quickly became larger, the pain was bleeding, and it turned out to be oral cancer. The team of Sun Yat-sen Memorial Hospital of Sun Yat-sen University and the Shenshan Central Hospital completely removed the tumor for him, and took the calf bone (fibula flap) to repair the defects in the maxillofacial area for him and restore his face to normal.
Guangzhou Daily Xinhuacheng reporter learned from the hospital on December 21 that oral cancer radical cure of the same period of fibula flap repair surgery is currently one of the most difficult and risky landmark surgeries in oral and maxillofacial head and neck surgery. The development of this operation has filled the gap in Shanwei and even eastern Guangdong, and it is convenient for local oral cancer patients to be treated nearby.
The "fire" of the gums turned out to be oral cancer, which was repaired with a fibula flap after surgical removal
Xiao Xin, a citizen of Shanwei, thought that the piece of "meat" growing from the left gum was "on fire" or "periodontal inflammation", and as his condition worsened, he went to Sun Yat-sen Memorial Hospital of Sun Yat-sen University to seek medical treatment.
Professor Wang Youyuan, deputy director of the Department of Oral and Maxillofacial Surgery at Sun Yat-sen Memorial Hospital of Sun Yat-sen University, who received him, with years of experience, saw at a glance that this piece of "meat" was oral cancer and needed surgical treatment.
"Xiao Xin suffered from left mandibular gum cancer, which required surgery to expand the removal of oral tumors and cervical lymphatic dissection, and after the operation, a large defect was formed in the oral and maxillofacial area, and autologous free fibula flaps were used for repair and reconstruction at the same time." Professor Wang Youyuan introduced. This type of surgery is very complicated, the operation not only involves the oral and maxillofacial head and neck, but also needs to prepare the free fibula flap in the lower leg, reconstruct the mandibular defect with the fibula flap, and anastomose the blood vessels on the head and neck blood vessels and the fibula flap under the microscope, the fineness requirements are very high, and it is the most difficult and risky landmark surgery in oral and maxillofacial surgery.
The treatment team organized experts from oral and maxillofacial surgery, anesthesia, operating room and other relevant departments to discuss difficult cases and preliminarily formulate a treatment plan. After full communication with Xiaoxin and his family, Xiaoxin and his family decided to stay in the Shenzhen Shantou Campus for treatment. "In the past, friends and relatives had to go to Guangzhou to see difficult diseases, and to do surgery, they often had to go to Guangzhou. Now experts from Guangzhou come here to visit and can also perform surgery in Shanwei! The little new family said happily.
At the beginning of December, Professor Wang Youyuan's team successfully performed radical resection of left mandibular gingival cancer for Xiaoxin, anastomomotically anastomulated the blood vessels on the neck and fibula flap under the microscope, and successfully repaired the oral, facial and mandibular defects with free fibular flap transplantation.
After the operation, Xiaoxin recovered quickly under the meticulous care of the medical team of the second district of the surgical department of the hospital, recovered well, and has been successfully discharged from the hospital.
Professor Wang Youyuan's team performed the operation
Xiao Xin's face was repaired and he was successfully discharged from the hospital
Expert reminder: If you find these symptoms, you should be wary of oral cancer!
Professor Wang Youyuan reminded that oral cancer should not be taken lightly, and if the following symptoms are found, we need to be vigilant:
1. Mouth ulcers: ulcers are common manifestations of oral cancer, and we need to distinguish between cancerous ulcers and ordinary ulcers. In general, ulcers that have not improved and healed for more than two weeks should be vigilant and preferably checked in time.
2. Unexplained lumps or hard lumps in the mouth: Xiaoxin came to the hospital for treatment precisely because of the lump in the mouth, so as to find the tumor as soon as possible. For unexplained lumps or hard masses in the mouth, full attention should be paid to them.
3. Leukoplakia or erythema that cannot be erased in the mouth: Oral leukoplakia and erythema are precancerous lesions, and about 3%-5% of patients with oral leukoplakia can become cancerous. In oral leukoplakia, abnormal epithelial hyperplasia is an indication of precancerous pathological leukoplakia, and in general, the more severe it is, the more prone to malignancy.
4. If there is unexplained pain or functional limitation in the mouth, such as limited opening of the mouth, difficulty in chewing food or swallowing food, or loss of consciousness or feeling numb in any part of the mouth, you should be vigilant and seek medical examination in time.
How should oral cancer be treated? According to the chief physician of the Department of Stomatology, Fang Zezhen, according to the consensus of experts at home and abroad, oral cancer needs to be treated with surgery as the mainstay, among which early oral cancer can be observed after surgical treatment, and the efficacy is better, while the treatment effect of advanced or recurrent oral cancer is not good. But now more treatment methods have been introduced, such as targeted therapy, immunotherapy, etc., with the development of medicine, there are constantly new drugs and treatment methods to treat tumors.
"Cancer does not equal terminal illness!" If the examination finds oral cancer, you should calm down, take the initiative to understand the condition, seek medical examination in time to clarify its pathology, and find a suitable doctor to cooperate with the doctor for treatment as much as possible. Professor Wang Youyuan said.
According to reports, the Oral and Maxillofacial Head and Neck Surgery Department of Shenzhen Shantou Hospital is fully supported by the expert team of Sun Yat-sen Memorial Hospital of Sun Yat-sen University, and the medical team is mainly composed of experienced doctors from the hospital headquarters. Since last year alone, the Department of Oral and Maxillofacial Surgery of Sun Yat-sen Memorial Hospital of Sun Yat-sen University has completed more than 1,600 cases of oral and maxillofacial head and neck tumor resection and repair surgery in the same period of micro-tissue flap transplantation and reconstruction surgery, ranking second in the country.
Text, photo/Guangzhou Daily, Xinhuacheng Reporter: Ren Shanshan Correspondent: Zhang Yang, Huang Rui, Fang Zezhen
Guangzhou Daily Xinhuacheng Editor: Li Jin