Treatment of oral cancer with metastases to lymph nodes with tumor resection and cervical lymph nodes dissection in Hannover Medical School (MHH)
Hannover Medical School (MHH)
Hannover, Germany
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Program id #
247549
Prof. Dr. med. Nils-Claudius Gellrich
Department of Adult and Pediatric Oral, Maxillofacial Surgery
Specialized in: adult and pediatric oral, maxillofacial surgery The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- TSH-basal, fT3, fT4
- tumor markers
- inflammation indicators
- indicators blood coagulation
- ultrasound of the neck and of lymph nodes
- CT/MRI scan of the mouth
- general otolaryngological examination
- preoperative care
- tumor resection
- histologically and immunohistochemically examination of the remote tissues
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- 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, Maxillofacial Surgery at the Hannover Medical School offers the full range of diagnostic and therapeutic services for patients with pathologies in the face, jaw, oral cavity, head and neck. The priority focuses of the medical institution's work include dental interventions, in particular, various techniques for augmenting the jaw bone tissue, implantology, treatment of maxillofacial injuries, benign and malignant neoplasms, maxillofacial inflammatory pathologies, correction of the cleft palate and other congenital and acquired facial defects. The department is a world leader in the field of orbital reconstructive surgery. A feature of the medical facility is the availability of the advanced computer equipment for planning treatment and performing operations with the highest accuracy and efficiency. Thus, the department has everything necessary to achieve an excellent therapeutic result, starting from modern operating rooms to experienced specialists. The department is headed by Prof. Dr. med. Nils-Claudius Gellrich.
The department's surgeons have invaluable experience in the treatment of head and neck malignancies. One of the most common diagnoses is oral squamous cell carcinoma. This type of cancer is mostly diagnosed at the advanced stages, which makes its treatment a rather difficult task. To detect the tumor and determine the stage of the pathology, the doctors conduct general clinical examination, computed tomography, magnetic resonance imaging, ultrasound examination, biopsy. If necessary, positron emission tomography can also be carried out. The basis of therapy is the surgical removal of the tumor, including radical resection. All therapeutic procedures meet the guidelines of the German-Austrian-Swiss Working Group on Maxillofacial Tumors (DÖSAK).
Thanks to the use of state-of-the-art surgical techniques, the doctors achieve excellent functional results and provide the patient with a good aesthetic appearance. In advanced types of cancer, surgery can often be supplemented by radiation therapy and chemotherapy. The decision on a multimodal approach to treatment is made at regular tumor boards individually for each patient. Once treatment is completed, the patient will be prescribed a specially adapted follow-up program. It aims to prevent the disease recurrence.
The department is also proud of its outstanding achievements in reconstructive orbital surgery. Such interventions are performed in the case of orbital injuries and fractures, which can be complicated by eye displacement and negative effect on vision. The reconstructive eye surgeries are complex procedures, which require careful and accurate planning. State-of-the-art equipment for computed tomography and digital volume tomography is used for this purpose. When performing surgical treatment, the optimal result is achieved thanks to the use of special titanium implants. There are also alternative methods, which can be applied depending on the patient’s specific clinical situation.
In collaboration with other specialized departments, the experts perform interventions to correct cleft lip, jaw and palate in children. The department pays special attention to monitoring of changes in the position of teeth and defects caused by bone deficiency in the cleft area. The surgical treatment is followed by regular interdisciplinary consultations for the child and his parents, during which the specialists assess the development of the child and prescribe therapeutic measures, if necessary.
The department's clinical focuses include:
- Diagnostics and treatment of skin tumors on the face and head
- Diagnostics and treatment of head and neck tumors
- Dental implantation
- Dentoalveolar surgery
- Tooth extraction
- Osteotomy of retained and displaced teeth
- Autografting of teeth primordia
- Exposure of the retained teeth for subsequent orthodontic placement in the dental arch
- Root apex resection
- Cyst removal
- Treatment of tooth injuries
- Diagnostics and treatment of facial skull injuries
- Orbital surgery
- Dysgnathia surgery (corrective osteotomy)
- Surgical repair of cleft lip, jaw and palate in children
- Facial reconstructive surgery
- Tissue transplantation
- Microsurgery
- Temporomandibular joint surgery
- Computer-assisted surgery and navigation surgery
- Other medical services
Curriculum vitae
Higher Education and Postgraduate Training
- 1982 - 1989 Study of Dentistry and Human Medicine at the Christian Albrecht University of Kiel.
- 1983 - 1989 Scholarship Holder of the German Academic Scholarship Foundation.
- 1991 Doctoral thesis defense in Human Medicine, Christian Albrecht University of Kiel.
- 1992 Doctoral thesis defense in Dentistry, Ruhr University Bochum.
- 06.1996 Habilitation in Oral and Maxillofacial Surgery, Ruhr University Bochum.
- 07.2001 Extraordinary Professorship, Albert Ludwig University of Freiburg.
Professional Career
- 1990 - 1993 Preparation for Board Certification in Oral and Maxillofacial Surgery, Ruhr University Bochum.
- 1994 Board Certification in Oral and Maxillofacial Surgery.
- 1996 Additional Qualification in Plastic Surgery.
- 1996 - 1997 Senior Physician of the Department of Oral and Maxillofacial Surgery at the University Hospital Bochum.
- 1997 - 2004 Senior Physician and Deputy Chief Physician of the Department of Oral and Maxillofacial Surgery at the University Hospital Freiburg.
- 2001 Additional Qualifications in Dentistry and Dental Surgery.
- 01.2004 Invitation to the Position of C4 Professor in Oral and Maxillofacial Surgery and Facial Plastic Surgery, Johann Wolfgang Goethe University Frankfurt.
- 10.2004 Invitation to the Position of Professor W3 and Head of the Department of Adult and Pediatric Oral, Maxillofacial Surgery at the Hanover Medical School.
- 2009 Senior Army Reserve Physician of the Federal Armed Forces of Germany.
- 2012 Invitation to the Position of Professor of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Zurich.
- 2019 Senior Army Reserve Physician of the Federal Armed Forces of Germany.
Professional Activities Abroad
- Clinical training in Bangor, North Wales, UK.
- Clinical training in Montgomery and Birmingham, Alabama, USA.
- Clinical training in Zurich, Switzerland.
Scientific Activities
- 1994 - 1995 Research Grant of the Department of Neurophysiology, Ruhr University Bochum, Germany.
- 1995 - 1998 Applicant and Principal Investigator for Project GE 820/6-1 Research Project GRF, neuroprotection study in a model of traumatic optic nerve injury.
- 2003 - 2005 GRF Project GE 820/6-1, Applicant and Principal Investigator.
- 2005 Volkswagen Foundation Research Grant (Volkswagen-Stiftung).
- 2005 GRF Project Ru 1224-1/1, Co-Applicant, Tissue Engineering Research.
- 2007 AO-F-07-58K Research Grant, Co-Applicant.
- Other areas of activity.
Research Interests
- Complex reconstructive approach in oral and maxillofacial surgery.
- Tissue transplantation and regeneration.
- Tissue engineering.
- Individual implants.
- Computer-assisted planning and surgery.
- Multimodal imaging analysis.
- Intraoperative navigation.
- Neuroprotection and regeneration.
Memberships in Professional Societies
- Consultant for the German Ministry of Defense in the Department of Military Medicine.
- German Society of Oral and Maxillofacial Surgery.
- Association of German Specialists in Oral and Maxillofacial Surgery.
- German Society for Plastic and Reconstructive Surgery (President 2012).
- German Society for Skull Base Surgery (President).
- German Society of Dentistry.
- Working Group on Oral and Maxillofacial Surgery of the German Society of Dentists.
- German-Austrian-Swiss Working Group on Head and Neck Tumors.
- Member and Representative for Oral and Maxillofacial Surgery, Bundeswehr Military Medical Advisory Council.
- Association of Professors in Dentistry.
- European Association for Cranio-Maxillo-Facial Surgery.
- International Association of Oral and Maxillofacial Surgeons.
- German Society for Computer and Robotic Assisted Surgery.
Awards
- 2000 Hans Pichler Award of the Austrian Association of Oral and Maxillofacial Surgery.
- 2003 Poster Award of the German Society of Skull Base Surgery.
- 2004 DÖSAK Award 2004 (German-Austrian-Swiss Working Group on Head and Neck Tumors).
Photo of the doctor: (c) Medizinische Hochschule Hannover (MHH)
About hospital
The Hannover Medical School has the status of a leading German medical facility. The advanced medical technologies, highly qualified specialists, as well as productive research activities form a solid basis for top-class medical service of the world standard. The hospital is proud of its outstanding achievements in the treatment of cancer, diseases of the lung, heart, kidney, liver and metabolic disorders, as well as surgical diseases.
The medical facility diagnoses and treats more than 63,000 inpatients and about 470,000 outpatients annally. These indicators are growing steadily, which indicates the reputability and prestige of the hospital in the European medical arena.
For decades, the hospital has been a pioneer in transplantation medicine and is one of the leading centers of this specialization in the world. It performs about 400 transplantations of solid organs annually. Also, the hospital has performed over 130 bone marrow transplantations. In addition, the hospital ranks among the world leaders in cochlear implantation for the treatment of hearing loss.
Much attention is paid to interdisciplinary cooperation. Since 2016, the hospital has the largest certified Cancer Center in the Federal State of Lower Saxony, which provides comprehensive, multidisciplinary medical care in accordance with the standardized protocols of cancer societies.
The specialists of the hospital offer patients not only modern treatment of the highest quality, but also attentive care, sympathetic attitude to the patient's problems and understanding of his individual needs. Thus, the patient can be sure that his health is in the safe hands of highly qualified doctors.
Photo: (c) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Hannover Medical School live in comfortable and cozy rooms. Each patent room has an ensuite bathroom with shower and toilet. A standard patient room includes an automatically adjustable bed with an orthopedic mattress, a bedside table, a wardrobe, a TV and a telephone. You can use TV, telephone and Internet using a special chip card, which can be purchased at self-service terminals or ordered at the service counter. The hospital allows the patients to use mobile phones, with the exception of intensive care units, some departments and diagnostic rooms.
If desired, the patient can stay in an enhanced-comfort room. Such rooms are distinguished by a more sophisticated design, and are additionally equipped with upholstered furniture, a safe for storing valuables and a mini fridge.
Meals and Menus
The patient and the accompanying person are offered delicious and balanced three meals a day. Breakfast and dinner are served buffet style and lunch can be chosen from three set menus. All dishes are prepared by professional chefs using the freshest ingredients available in the region.
If you are on a specific diet for some reason, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
There is a chapel on the territory of the hospital, where Christian and Catholic services are regularly held. The hospital provides a prayer room for followers of Islam, which is open for visits 24 hours a day.
Religious services can also be provided upon request.
Accompanying person
During an inpatient program, an accompanying person can stay with you in the patient room or in a hotel of your choice.
Hotel
During an outpatient program, you can stay in a hotel of your choice. The managers will help you choose the most suitable options.
