Oral Cavity & Lip Cancer

Chapter 19 of Volume 2, Head, Neck & Craniofacial. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

21 viva questions in this chapter

1. How would you stage this tumour?
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2. How much tongue would you take, and what margin are you aiming for?
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3. How will you reconstruct this?
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4. What makes someone a poor free-flap candidate?
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5. Why not a pectoralis major flap first? And is it not quicker?
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6. What about a submental island flap?
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7. What are your preferred recipient vessels?
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8. Why avoid the lingual artery?
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9. The facial artery stump is too short, barely visible under digastric. What do you do?
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10. How do you deliver the pedicle from the mouth into the neck?
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11. What are your indications for neck dissection?
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12. Classify neck dissections for me.
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13. How would you consent him for the neck dissection?
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14. When would he need adjuvant treatment?
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15. The son has read about HPV. Does it affect his father’s prognosis?
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16. Would HPV status change his treatment?
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17. What is the mechanism?
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18. What other risk factors?
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19. The son asks whether his father could have a sentinel node biopsy instead of a neck dissection.
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20. A GP refers a patient with a neck node and no obvious primary. How do you manage it?
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21. Why core biopsy rather than FNA?
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