Investigation of the maxillary carcinoma based on surgery with chemo-and radio-therapy

In comparison with carcinomas of the maxillary sinus and alveologingiva

Abstract

Surgery combined with radio-and chemotherapy for 45 squamous cell carcinomas of maxillary sinus and maxillary alveologingiva was carried out in the First Department of Oral and Maxillofacial Surgery, Dental Clinic of the Iwate Medical University during the period from 1974 to 1987. The accumulative 5-year survival rate was superior in 54.7% of 29 maxillary sinus carcinomas compared to 49.7% of 16 maxillary alveologingival carcinomas.
Especially, most advanced patients of stage with T₄, died because of distant metastasis in the maxillary sinus carcinomas and local tumors extending to the parapharyngial space or metastasizing to the regional lymph nodes in the maxillary alveologingival carcinomas.
In the future a combined therapy should be performed taking above mentioned points into consideration.