Monday, June 10, 2019

PT with lower complete denture, intraoral examination show with slightly elevated lesion with confirmed border, PT history of ill fitting denture



PT with lower complete denture, intraoral examination show with slightly elevated lesion with confirmed border, PT history of ill fitting denture. It is by:
a- Immediate surgical removal.
b- Instruct PT not to use denture for 3 weeks then follow up. ***
c- Reassure PT and no need for treatment.

Most people with cancer of the oral cavity will undergo surgery. The type of surgery you will have depends mainly on the size and location of the tumor and its stage. When your healthcare team plans surgery, it also considers other factors such as your age and overall health.
You can perform surgery for different reasons. You can have surgery for:
- completely remove the tumor;
- remove lymph nodes if the cancer has spread or prevent cancer from spreading;
- reduce pain or relieve symptoms (palliative surgery).
Oral cavity cancer surgery can affect your appearance and your ability to chew, swallow and talk. Many specialists work together to plan a treatment that will give you the best possible quality of life. These specialists may be surgeons (head and neck surgeons, reconstructive surgeons and other specialists), radiation oncologists, medical oncologists, dentists, dieticians and speech pathologists.

Before the surgery:
Some oral cancer surgeries can be complicated and it can be difficult to recover. It is important to be as healthy as possible before undergoing surgery. Blood tests such as Complete Blood Count (CBC) or biochemical blood tests, blood clotting tests, and liver function tests (liver) may be performed. You could also have cardiac function and lung function tests to make sure you are healthy enough to have surgery. We will also assess your nutritional status to know your weight and your food intake.
It is important that you have a complete dental examination and that you receive the necessary dental care as part of your treatment plan. If you smoke, your health care team will encourage you to quit. Smoking can increase the risk of recurrence (recurrence) of cancer and also slow healing and increase the risk of side effects after surgery.

Ablation of the tumor:
Resection removes the entire tumor and a margin of healthy tissue all around. If your tumor is small and easy for the surgeon to reach, the surgeon will do the operation by mouth. If the tumor is large, the surgeon may need to remove the tumor through an incision in your neck or jaw (mandibulectomy). Different types of surgery are used to remove the primary tumor depending on its location. You may also receive other treatments before or after surgery.

Wide local excision:
A large local excision is made to treat small tumors. The tumor is removed along with a normal tissue margin all around. The remaining skin is sutured or allowed to heal on its own. If the margins removed with the tumor are positive, we plan to do another resection.

Mohs Surgery:
Mohs surgery, also known as Mohs micrographic surgery, is a surgical method that can be used to treat small cancers of the lip. It removes a tumor and surrounding tissue, layer by layer, until there is no more cancer cells in the tissue. Mohs surgery is generally not used for oral cancer that sits elsewhere than on the lip.