Surgical outcomes in cases of postoperative recurrence of primary oral cancer that required reconstruction

[Purpose] In order to clarify prognostic factors of recurrent oral cancer,[Patients and Methods] In 17 oral cancer patients with their age ranging from 28 to 86 years old, who underwent extensiveresection accompanied by reconstruction for recurrence of a primary oral cancer, correlations between survival rate after salvage surgery and subsite, T classification and N classification of their initial and recurrent tumors, and time of recurrence were analyzed by using Kaplan-Meier method and kai-square analysis. [Results] Tongue cancer (10 patients) was found to have the poorest prognosis among all the subsites, and especially those whohad recurrence within 3 months after previous surgery had extremely poor prognoses; 30% (3/10) of them died without being discharged from the hospital after salvage surgery, and in 40% of them QOL was remarkably impaired losing their voice andchance of peroral food intake, etc. While T classification and N classification of initial and recurrent tumors were found to have no correlations with the prognosis. [Conclusion] More appropriate and realistic information should be provided to those patients to assist them to make a fully informed decision prior to surgery

Tracheal reconstruction using s-shaped skin flaps and a conchal cartilage graft.

We have devised a technique of two-stage tracheal reconstruction using S-shaped skin flaps and an aural conchal cartilage graft. During the first operation, S-shaped skin flaps were elevated before resection of the trachea. A tracheocutaneous fistula was created at the tracheal defect using S-shaped skin flaps while placing the conchal cartilage graft underneath. During the second operation, a skin incision was made around the fistula to elevate the hinge flaps, including the cartilage. The edges of the hinge flaps were sutured to form the tracheal lumen, and the area of the skin defect was then closed with double-rotation skin flaps

Recurrent sebaceous carcinoma with wide intraepithelial spread to the nasal cavity: Report of two cases

Background: Sebaceous carcinoma (SC) is a relatively rare tumor that usually arises from the eyelid. Local extension down the nasolacrimal duct is relatively rare event for SC.Method: We herein report two cases of recurrent SC in the nasal cavity. Both patients had previously received primary treatment for SC of the eyelid. Seven years after the initial treatment, the first patient presented with a mass on the left medial canthus of the eyelid. Sixteen months after the initial treatment, the second patient presented with a large mass in the right nasal cavity.Results: The wide intraepithelial spread of SC over 30 mm from the initial surgical margin was beyond our expectations. The first patient is currently alive with local recurrence following the administration of chemoradiotherapy 46 months after treatment, while the second patient died of distant metastasis.Conclusion: This report focuses on the unique clinical features of intranasal recurrence of SC after treatment