The role of the head and neck surgeon in contemporary multidisciplinary treatment programs for advanced head and neck cancer Journal Article
| Authors: | Wong, R. J.; Shah, J. P. |
| Article Title: | The role of the head and neck surgeon in contemporary multidisciplinary treatment programs for advanced head and neck cancer |
| Abstract: | Purpose of review: The advent of contemporary multidisciplinary treatment programs for head and neck cancer has led to a shift away from primary surgery for advanced pharyngeal and laryngeal carcinomas, in favor of concurrent chemoradiation therapy. Although primary surgical resection may no longer be the most commonly selected initial therapy for these patients, the head and neck surgeon should remain a key participant in their multidisciplinary care. We review the various ways in which the head and neck surgeon contributes to the care of these patients. Recent findings: The surgeon fills many critical roles throughout chemoradiation therapy of advanced head and neck cancer, including initial diagnosis and staging, selection of initial therapy, pretreatment airway and nutritional support, patient assessment during and following therapy, evaluation of tumor response, salvage surgery, and management of late effects following chemoradiation therapy. Summary: Continued involvement by a head and neck surgeon throughout all of the phases of chemoradiation therapy of patients with advanced head and neck cancer should be maintained by the multidisciplinary team ©2010 Wolters Kluwer Health | Lippincott Williams & Wilkins. |
| Keywords: | cancer chemotherapy; treatment response; review; head and neck surgery; salvage therapy; advanced cancer; treatment planning; cancer radiotherapy; combined modality therapy; cancer staging; magnetic resonance imaging; antineoplastic agent; cancer diagnosis; neoplasm staging; tomography, x-ray computed; patient assessment; patient care; head and neck cancer; head and neck neoplasms; positron-emission tomography; interdisciplinary communication; organ preservation; neoplasm invasiveness; program development; airway; nutritional support; chemoradiation therapy |
| Journal Title: | Current Opinion in Otolaryngology & Head and Neck Surgery |
| Volume: | 18 |
| Issue: | 2 |
| ISSN: | 1068-9508 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2010-04-01 |
| Start Page: | 79 |
| End Page: | 82 |
| Language: | English |
| DOI: | 10.1097/MOO.0b013e32833782f0 |
| PUBMED: | 20168233 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 1" - "Export Date: 20 April 2011" - "CODEN: COOSF" - "Source: Scopus" |
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