COMMANDO in Locoregional Recurrence of Oropharyngeal Carcinoma

  • Abdul Azim Al-Abrar Ahmad Kailani
  • Ahmad Kusyairi Khalid
  • Mohd Razif Mohamad Yunus
  • Irfan Mohamad Universiti Sains Malaysia

Abstract

Squamous cell carcinoma is the most common malignant neoplasm of the upper aerodigestive tract, and presentation is usually at the late stages when the diagnosis is made. Recurrence after 1st therapy is common especially in the locoregional area of the tumour. For cancers affecting the oral cavity, oropharynx, and mandible, “COMMANDO” (Combined Mandibulectomy and Neck Dissection Operation) is one of the surgical approaches which constitutes of primary tumour resection, mandibulectomy and neck dissection. We describe a case of rapid locoregional recurrence following 1st surgical procedure of bilateral tonsillectomy and extended neck dissection of oropharyngeal squamous cell carcinoma in a young healthy individual without history of alcohol and tobacco abuse involving the right buccal region which after positron emission tomography was done, showed involvement of right pterygoid muscles, right-sided tongue muscle, and right mandible. The patient underwent redo salvage surgery and reconstruction with anterolateral thigh flap.

Author Biography

Irfan Mohamad, Universiti Sains Malaysia

Associate Professor,

Department of Otorhinolaryngology-Head & Neck Surgery,

School of Medical Sciences,

Universiti Sains Malaysia Health Campus,

16150 Kota Bharu, Kelantan,

Malaysia.

Published
2020-11-01
How to Cite
AHMAD KAILANI, Abdul Azim Al-Abrar et al. COMMANDO in Locoregional Recurrence of Oropharyngeal Carcinoma. Journal of Clinical and Health Sciences, [S.l.], v. 5, n. 2, p. 61-65, nov. 2020. ISSN 0127-984X. Available at: <http://myjms.mohe.gov.my/index.php/JCHS/article/view/11123>. Date accessed: 01 dec. 2020. doi: https://doi.org/10.24191/jchs.v5i2.11123.

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