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Year : 2022  |  Volume : 10  |  Issue : 2  |  Page : 127-131

Approach to T4b oral cancers – A surgeon's perspective

1 Department of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
2 Department of ENT and Head and Neck Surgery, Seven Hills Hospital, Visakhapatnam, Andhra Pradesh, India
3 Department of Surgical Oncology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India

Correspondence Address:
Achyuth Panuganti
Department of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jhnps.jhnps_46_22

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T4b oral cancers are considered unresectable tumors according to most of the standard treatment guidelines. However, from a head-and-neck surgeon's perspective number of factors has to be considered before labeling a T4b cancer as unresectable. This narrative review aims to emphasize various aspects of decision-making in treating a T4b oral cancer, in particular tumors involving infratemporal fossa (ITF). We conducted a literature search in PubMed for articles published between January 1990 and December 2021 using the following key terms: Oral cancer, advanced oral cancer, Head and Neck cancer, T4b oral cancer, ITF, and Compartment surgery. Then, some of these terms were used in combination for the search. Finally, a result was manually checked for relevant articles. A narrative review is presented from the surgeon's perspective in the management of T4b oral cancer.

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