Literature Reviews
doi: 10.25005/2074-0581-2019-21-1-165-172
RECONSTRUCTIVE SURGERY AND QUALITY OF LIVE IN PATIENTS WITH LOCALLY-ADVANCED HEAD AND NECK CANCER

D.R. Sanginov1, A.M. Mudunov2, R.Z. Yuldoshev1, N.I. Bazarov1, I.K. Niyazov1, N.A. Safarzoda1

1Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Department of Surgery of Tumors of the Upper Respiratory and Digestive Tracts, N.N. Blokhin Russian Cancer Research Center, Moscow, Russian Federation

The article presents an overview of modern literature on the incidence, mortality, evolution of reconstructive and plastic operations and the algorithm of their application in cancer of the organs of the head and neck. The results of randomized studies on the surgical treatment of head and neck cancer and the problems related to rehabilitation and quality of life of these patients are reflected. In particular, the experience of leading experts in the field of reconstructive surgeries for tumors of individual localizations is given. The influence of one-stage plastics on the quality of life of patients is analyzed. Comparison of the results of the application of the pectoralis major myocutaneous flap and the anterolateral thigh free flap showed that the frequency of complications in the second case is much less. The effectiveness of palliative operations with simultaneous reconstruction with free and pedicled flaps in patients with locally advanced head and neck cancer was studied.

Keywords: Locally-advanced cancer, head and neck, reconstruction, pedicled flaps, rehabilitation, quality of life.

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Authors' information:

Sanginov Dzhumaboy Rakhmatovich
Doctor of Medical Sciences, Professor of the Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University

Mudunov Ali Muradovich
Doctor of Medical Sciences, Full Professor, Head of the Department of Surgery of Tumors of the Upper Respiratory and Digestive Tracts, N.N. Blokhin Russian Cancer Research Center

Yuldoshev Ravshan Zokhidovich
Doctor of Medical Sciences, Head of the Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University

Bazarov Negmat Ismailovich
Doctor of Medicine, Professor of the Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University

Niyazov Ilkhomidin Karimovich
Postgraduate Student, Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University

Safarzoda Nuridindzhoni Abdulvokhid
Postgraduate Student, Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment.

Conflicts of interest: No conflict

Address for correspondence:

Niyazov Ilkhomidin Karimovich
Postgraduate Student, Department of Oncology and Radiodiagnostics, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (918) 874887

E-mail: ilhomnike@mail.ru

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