Highly Advanced Cancer Surgery for Stage 4 Oral and Maxillofacial Cancer

Highly Advanced Cancer Surgery for Stage 4 Oral and Maxillofacial Cancer


DR. PERRY MANSFIELD:
We’re going to do everything to get this out today. That’s our goal. DARRYL:
Great. DR. MANSFIELD:
This is the cancer, and it has invaded and eroded and destroyed the entire cheek complex.
We’re going to be removing, as I mentioned to you, the right side of the cheekbone. And
I’m going to do all of that through the mouth; there will be no external cuts and
no scars. It wasn’t until more recently that we had
to remove tumors through large incisions through the face, all the way across, all the way
down through the lip, to be able to access this area. And the patients would have disfigurement
and facial scars. Now I can do it in a very different way, in a minimally invasive format
through the mouth with endoscopes. DARRYL:
Even though they seem to be taking everything out here imaginable, somehow I’m supposed
to have the same face at the end. Nobody’s talking about any reconstruction, or anything. DR. MANSFIELD:
I will remove and disarticulate these two bones that are here, basically removing half
the palate. That will leave a large hole. DARRYL:
Boy, he’s chopping away some significant part of my skull. Amazing. DR. MANSFIELD:
We’ve had pre-made for him something called an obturator to fit his skull. And then ultimately,
this will act as an enlarged denture with some teeth on the side of it to allow him
to basically eat, speak, talk and look essentially entirely normal again. DARRYL:
Most of the roof of my mouth gone, gum all the way back, gone, and I’m saying it. (laugh) DR. MANSFIELD:
Good to see you. How are you? DARRYL:
Actually, starting today, I’m feeling pretty decent. DR. MANSFIELD:
I feel that I’m really doing something that is a journey for me. Every patient that I
have, I want to do everything I can to make their quality of life better. And cure their
disease ultimately.

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