Surgical treatment of orbital rhabdomyosarcoma in Municipal Hospital Karlsruhe
Municipal Hospital Karlsruhe
Karlsruhe, Germany
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Program id #
593650
Prof. Dr. med. Dr. dent Anton Dunsche
Department of Adult and Pediatric Oral and Maxillofacial Surgery
Specialized in: adult and pediatric oral and maxillofacial surgery The program includes:
- Initial presentation in the clinic
- clinical history taking
- physical examination
- review of medical records
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- TSH-basal, fT3, fT4
- tumor markers
- indicators of inflammation
- indicators blood coagulation
- orbital ultrasound
- CT/MRI/x-ray scan of the head and orbit
- preoperative care
- resection of the tumor
- histologically and immunohistochemically examination of the remote tissues
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation in 2 bedded room
- explanation of future recommendations
Required documents
- Medical records
- MRI/CT scan (not older than 3 months)
- Biopsy results (if available)
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About the department
The Department of Adult and Pediatric Oral and Maxillofacial Surgery at the Municipal Hospital Karlsruhe offers the full range of modern diagnostics and treatment for patients with diseases and defects of the oral cavity, jaws, face, head and neck, including dental implantology. An essential focus of the department's doctors' work is on treating benign and malignant maxillofacial tumors. Operations in children are most often performed to repair cleft lips, jaws and palate. The department has state-of-the-art systems for X-ray and ultrasound diagnostics, which allow the specialists to detect the pathology accurately and plan an optimal treatment regimen. More than 1,700 inpatients and about 32,000 outpatients are treated in the department annually. The department's doctors are focused on finding the optimal treatment option, considering a patient's clinical indications and wishes. At the same time, the specialists always strive to achieve the best aesthetic result of surgical treatment. The department is headed by Prof. Dr. med. Dr. dent Anton Dunsche.
The department's primary task is the treatment of benign and malignant tumors of the oral cavity and facial skin, and other head and neck tumors. In cooperation with the Department of Adult and Pediatric Otolaryngology and the Department of Radiation Therapy, an interdisciplinary Head and Neck Cancer Center was founded on the basis of the department in 2016, which soon received certification from the German Cancer Society (DKG). The specialists of the center meet weekly for tumor boards, during which they consider each clinical case of cancer of the oral cavity, jaw, pharynx, salivary glands and other cancers, as well as develop optimal treatment regimens. The first-line therapy is usually surgical resection of the malignancy. Whenever required, plastic and reconstructive interventions are carried out to restore the shape and functions of the affected areas of the body, as well as the appearance after the treatment of tumors. Many reconstructive procedures after the treatment of oral tumors require microsurgical tissue grafting. In addition to surgery, chemotherapy and/or radiation therapy is conducted.
The department's doctors are deservedly proud of their successful experience in the field of repair of cleft lip, jaw and palate in children. These deformities are treated in a specialized center, which was founded in 2003 and today is one of the largest medical facilities of this kind in all of Germany. The surgeons in this field annually treat more than 50 newborns with cleft lip, jaw and palate, and also perform about 120 surgical interventions. Anomalies are usually detected at the stage of intrauterine development. Cleft repair surgery is performed starting from 3-6 months of life, and in the case of complex deformities, it is carried out in several stages from the age of 9 months to 1,5 years. Repair of cleft lip, jaw, and palate requires an integrated approach. This is aimed at eliminating not only an aesthetic defect, but also functional disorders, swallowing problems, breathing and sound pronunciation. The extent and type of the surgical intervention depends on the characteristics of the child and is selected on an individual basis.
The key tasks of the department's oral and maxillofacial surgeons include the repair of facial deformities, improper position of the jaws and malocclusion. The medical facility also provides conservative and surgical treatment of temporomandibular joint diseases. As a conservative treatment, special splints, physiotherapy procedures or botulinum toxin injections can be used. If these measures do not give the desired result, doctors switch to surgical treatment.
The department specializes in interventions for jaw bone tissue augmentation and implant placement. Dental implants are placed in a specialized center (Implantologicum Karlsruhe). The department has over 35 years of successful experience in the field of dental implantology. The specialists install from 300 to 800 dental implants annually, therefore they have expert knowledge and professional skills in this area. Dental implantology is complemented by dental surgery: operations to remove teeth, including wisdom teeth, root apex resection, operations to treat periodontal pathologies, abscesses, traumatic injuries, etc. To provide patients with maximum comfort, doctors use high-quality anesthetics, so that pain is not felt during treatment.
The department's range of services includes:
- Surgical treatment of facial skin tumors: basal carcinoma, squamous cell carcinoma and melanoma
- Surgical treatment of temporomandibular joint diseases
- Surgical treatment of inflammatory processes in the maxillofacial region
- Surgical treatment of jaw necrosis
- Malocclusion correction
- Surgical repair of cleft lip, jaw and palate in children
- Surgical repair of craniofacial malformations in children
- Surgical resection of head and neck tumors
- Treatment of traumatic maxillofacial injuries
- Surgical dentistry
- Jaw bone augmentation and dental implant placement
- Tooth extraction in the case of treatment failure
- Surgical removal of the wisdom tooth
- Root apex resection
- Treatment of periodontal diseases
- Displaced tooth extraction
- Abscess treatment
- Soft tissue surgery
- Denture preservation surgery
- Hemisection
- Treatment of dental injuries (reimplantation)
- Aesthetic facial surgery
- Facelift and plastic repair of the face profile
- Upper and lower eyelid lift (blepharoplasty)
- Neck lift
- Treatment of mimic wrinkles with botulinum toxin
- Treatment of wrinkles with fillers, hyaluronic acid, and laser resurfacing
- Other surgical options
Curriculum vitae
Higher Education
- 1982 - 1983 Economic studies at the University of Paderborn.
- 1983 - 1989 Medical studies at the University of Essen and at the Semmelweis University Faculty of Health Sciences in Budapest.
- 1987- 1990 Dentistry studies at the Semmelweis University Faculty of Health Sciences in Budapest.
- 1987 - 1989 Scholar of the Albertus Magnus Verein Foundation.
- 1989 Admission to medical practice and doctoral thesis defense on the subject: "Extra- and intra-arterial anastomoses at the Hungarian National Institute of Neurosurgery in 1976-1986".
- 1990 Admission to medical practice in Dentistry and doctoral thesis defense on the subject: "The role of angiography in the control of intra-arterial chemotherapy of head and neck tumors".
- 2001 - 2003 Training in Medical and Social Facility Management, distance education at the University of Kaiserslautern.
- 2003 Training course "Total Quality Management", distance education at the University of Kaiserslautern.
Professional and Scientific Career
- 1990 - 2002 Research Fellow, Department of Oral and Maxillofacial Surgery, University Hospital Kiel.
- 1994 Board certification in Oral and Maxillofacial Surgery.
- 1995 Senior Physician, Department of Oral and Maxillofacial Surgery, University Hospital Kiel.
- 1996 - 2002 Member of the Faculty of Convention at the University of Kiel.
- 1998 - 2000 Consistory Member of the University of Kiel.
- 2000 - 2004 Managing Senior Physician in the Department of Oral and Maxillofacial Surgery at the University Hospital Kiel.
- 2001 Habilitation in Oral and Maxillofacial Surgery. Subject: "Lichenoid reaction of the oral mucosa to the amalgam – clinical, histological and experimental examinations on animals; study of etiology and differential diagnostics".
- Since 05.2002 Head of the Department of Adult and Pediatric Oral and Maxillofacial Surgery at the Municipal Hospital Karlsruhe.
- Since 05.2002 Full admission to conduct advanced training courses in Oral and Maxillofacial Surgery, Medical Association of Baden-Wuerttemberg, and additional specialization in Plastic Surgery.
- Since 05.2002 Full admission to conduct advanced training courses in Dentistry, Medical Association of Baden-Wuerttemberg.
- 2002 Martin Wassmund Prize (2001) of the German Society of Oral and Maxillofacial Surgery for Habilitation.
- Since 10.2002 Reviewer in Oral and Maxillofacial Surgery, Medical Association of Baden-Wuerttemberg.
- 2002 Specialization in Implantology (certification of the Consensus Conference Implantology).
- Since 11.2002 Permission for holding DGI/APW internships as part of training program in implantology.
- Since 01.2002 Specialization in Implantology, Periodontology and Pediatric Dentistry (in accordance with §14 of the professional code of the Medical Association of Baden-Wuerttemberg).
- Since 2003 Member of the Expert Group on Dental Radiology of the Medical Association of Baden-Wuerttemberg.
- Since 2005 Member of the Quality Committee and Expert Committee on Quality Management of the Medical Association of Baden-Wuerttemberg.
- Since June 2009 Extraordinary Professorship.
Photo of the doctor: (c) Städtische Klinikum Karlsruhe
About hospital
The Municipal Hospital Karlsruhe is a modern maximum care medical facility, which combines a long tradition and the advanced achievements of modern medicine. The hospital operates on the basis of the University of Freiburg, so scientific innovations in the field of diagnostics and treatment are continuously introduced into practice here. The hospital presents almost all areas of modern medicine, including many medical services for young patients.
A highly qualified and experienced team of more than 4,500 employees provides impeccable medical care. The medical facility has 1,571 beds for the hospitalization of its patients. The hospital admits more than 63,000 inpatients and about 186,000 outpatients annually. A large number of patients wishing to receive medical care in the hospital speak for themselves and are a confirmation of the exceptional service, as well as the effectiveness of the treatment provided.
The quality management system of the hospital's medical care is certified in accordance with the DIN EN ISO 9001 standards. Since 2016, the hospital has implemented a regular quality control in compliance with the strict standards of the Initiative Quality Medicine (IQM). In addition, almost all departments of the hospital have numerous certificates in their areas of specialization, including certificates from the German Cancer Society (DKG), the German Society for General and Visceral Surgery (DGAV), the German Cardiac Society (DGK), the German Diabetes Society (DDG), the German Society of Nephrology (DGN), the German Trauma Society (DGU), etc.
The main value of the hospital's staff is the health and satisfaction of their patients, so a respect and a humane attitude towards each patient remain priorities. The doctors and nursing staff support each patient in every possible way on their path to recovery. The specialists also strive to perform the most sparing, but at the same time the most effective and safe treatment.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Municipal Hospital Karlsruhe live in cozy patient rooms with everything necessary for a comfortable stay. Standard patient room furnishing includes an automatically adjustable bed, a bedside table, a TV, and a telephone. The patient rooms have Wi-Fi. Each patient room also has an ensuite bathroom with a shower and a toilet.
The patient rooms in the pediatric departments are specially designed for children, so that young patients feel at home. Children can live in their patient room with one of their parents. There are also special playrooms designed for children.
Meals and Menus
The patients of the hospital are offered tasty and varied three meals a day: breakfast, lunch and dinner. The menu also features dietary meals. The kitchen staff will gladly accept all the individual wishes of patients.
The hospital also has a cozy cafe where one can have a tasty snack, drink tea, coffee and soft drinks.
Further details
Standard rooms include:
Shower
Toilet
Wi-Fi
TV
Religion
The hospital has two chapels that regularly host Protestant, Catholic, and Ecumenical worship services. A patient can watch the broadcast of the worship on TV channels in his own room, if desired.
Accompanying person
Your accompanying person may stay with you in your patient room or at the hotel of your choice during the inpatient program.
Hotel
You may stay at the hotel of your choice during the outpatient program. Our managers will support you for selecting the best option.
