Salvage Mandibulectomy in an Octogenarian with Recurrent Oral Cavity Squamous Cell Carcinoma: A Case Report

• Published in: Archives of Orofacial Sciences
• Main Author: Azman M.; Yunus M.R.M.; Mohamad M.S.F.
• Format: Article
• Language: English
• Published: Penerbit Universiti Sains Malaysia 2023
• Online Access: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85170235395&doi=10.21315%2faos2023.1801.CR02&partnerID=40&md5=6caabf4f7a2fb51c6d86521953f10da9

Oral squamous cell carcinoma (OSCC) is the commonest malignant tumour affecting the oral cavity with a poor 5-year disease free survival. We present an octogenarian with a recurrent oral cavity squamous cell carcinoma, treated with salvage mandibulectomy without bony reconstruction. No immediate or intermediate perioperative complications were documented. Subsequent monthly surveillance clinical examination, endoscopy and computed tomography at six months post-operative showed no evidence of residual tumour. Geriatric syndrome, perioperative risk and oncologic stratification are three main cornerstones in evaluating feasibility of oncologic surgery in an elderly patient. A multidisciplinary approach allowed surgical extirpation of OSCC with a good outcome. © Penerbit Universiti Sains Malaysia. 2023