Treatment of oral cancer with metastases to lymph nodes with tumor resection and cervical lymph nodes dissection in University Hospital RWTH Aachen
University Hospital RWTH Aachen
Aachen, Germany
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Program id #
106353
Prof. Dr. med. Frank Hölzle
Department of Oral and Maxillofacial Surgery
Specialized in: oral and 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 Oral and Maxillofacial Surgery at the University Hospital RWTH Aachen offers the full range of surgical interventions for the treatment of inflammatory diseases of the soft and hard tissues of the face and neck, injuries, benign and malignant maxillofacial tumors, as well as maxillofacial malformations. One of the most important focuses of the department’s work is plastic reconstructive surgery of the face. Important attention is also paid to the interdisciplinary treatment of maxillofacial tumors, malformations, injuries and implantology. The department has modern computerized system, which allows the doctor to accurately plan the surgical intervention and predict its outcome. The Chief Physician of the department is Prof. Dr. med. Frank Hölzle.
Surgical treatment is carried out in three inpatient (operations under general anesthesia) and two outpatient (operations under local anesthesia) operating rooms. In order to perform navigation-guided operations and microsurgical reconstructions using free grafts, the operating rooms in the departments are equipped with the BRAINLAB navigation system and state-of-the-art Zeiss OPMI Pentero surgical microscopes. The outpatient surgery covers non-extensive interventions, for example, tooth extraction, root apex removal, wisdom teeth extraction, periodontal surgery, augmentation procedures, dental implantation. Laser surgical interventions are carried out in a specially equipped center.
The main focuses of the department’s clinical practice include:
- Facial plastic reconstructive surgery
- Microvascular flap surgery
- Local flap surgery
- Aesthetic surgery
- Upper and lower eyelid lift
- Face lift
- Forehead lift
- Nose reshaping (rhinoplasty/septorhinoplasty)
- Auricle reshaping (otoplasty)
- Correction of the auricles in hypoplasia/aplasia
- Treatment of wrinkles (non-surgical techniques)
- Injections (for example, hyaluronic acid)
- Wrinkle treatment using autologous fat
- Botulinum toxin injections in facial wrinkles
- Laser skin resurfacing
- Lip augmentation using injections or surgical technique
- Dermatosurgery
- Benign skin neoplasms (for example, birthmarks, cysts, fibroids, atheromas, hemangiomas)
- Malignant skin neoplasms (for example, basal cell carcinoma, squamous cell carcinoma, malignant melanomas)
- Surgical correction of craniofacial malformations
- Apert syndrome
- Crouzon syndrome
- Treacher Collins syndrome
- Goldenhar syndrome
- Surgical correction of complete cleft lip, jaw and palate
- Cleft lip
- Cleft palate
- Submucous cleft palate
- Nasal deformities caused by cleft lip, jaw and palate
- Primary cleft lip plastic surgery
- Primary cleft palate plastic surgery
- Nasoalveolar formation
- Speech therapy
- Orthodontic therapy
- Therapy of speech disorders
- Correction of dysgnathia caused by cleft lip, jaw and palate
- Nose reshaping due to cleft lip, jaw and palate
- Velopharyngoplasty
- Surgical treatment of dysgnathia (malocclusion)
- Surgical treatment of pathological changes in the oral mucosa
- Surgical treatment of benign and malignant maxillofacial tumors
- Surgical treatment of maxillofacial injuries
- Head and neck septic surgery
- Pre-prosthetic surgery
- Jaw ridge bone smoothing
- Exostosis removal
- Displacement of muscle and mucous membranes
- Removal of flabby ridge
- Fibroma removal
- Implantology
- Dentoalveolar surgery
- Prosthetics in maxillofacial defects and installation of epithets
- Laser surgery, including aesthetic procedures
- Removal of spider veins
- Removal of angiomas and hemangiomas
- Treatment for pigment spots
- Treatment for excessive pigmentation on the scars
- Smoothing of scars
- Correction of lipid deposits around the eyes (xanthelasma)
- Removal of fibromas
- Smoothing of facial wrinkles
- Treatment of oral mucosal disorders
- Functional and aesthetic botulinum toxin therapy
- Spastic paresis
- Muscular hyperactivity
- Muscle twitching (blepharospasm, fasciculation)
- Posttraumatic or idiopathic muscle hypertrophy (for example, affecting the masticatory muscles)
- Painful muscle tension (myogelosis)
- Tension headache
- Chronic migraine
- Excessive sweating (hyperhidrosis)
- Frey's syndrome (after parotid surgery)
- Chronic dislocation of the lower jaw
- Treatment of facial wrinkles (also in combination with autologous fat injections)
- Speech therapy
- Functional rehabilitation after (reconstructive) surgery of the soft and hard tissues of the oral cavity
- Diagnostics and functional therapy of dysphagia after surgery and treatment of cancer pathologies of the oral cavity and throat
- Interdisciplinary assessment of swallowing using imaging techniques (for example, videoendoscopic diagnostics or videofluoroscopy)
- Therapy of functional articulation disorders in intraoral tumors
- Monitoring of tracheostomy tube
- Nutrition counseling (on an outpatient basis)
- Orofacial regulatory therapy according to the Castillo-Morales method
- Activation and regulation of all functions, which are necessary for normal and independent eating and drinking (swallowing, chewing, saliva control)
- Prevention of secondary pathologies
- Other medical services
Curriculum vitae
Since 1989 till 1998, Prof. Hölzle studied medicine and dentistry at the Free University of Berlin, Humboldt University of Berlin, University of Glasgow and University College London. In 1995, he defended his doctoral thesis on the subject: "Anatomical and histological examination of vascular pedicles of various free grafts". Since 1995 till 1998, he worked as Intern and Assistant Physician in Berlin. In 1998, he wrote doctoral thesis in Dentistry, subject: "Methods for the conservation of allogeneic donor material with a special emphasis on the experimental conservation of glycerol and vascular lyophilization". In 1999 and 2000, Prof. Hölzle worked as Research Fellow in the Department of Oral and Maxillofacial Surgery at the Charite University Hospital Berlin, Campus Virchow. Since 2000 till 2007, he worked as Assistant Physician (then Senior Physician, Leading Senior Physician and Deputy Head) in the Department of Maxillofacial Surgery, Ruhr University Bochum (Knappschaftskrankenhaus Bochum-Langendreer). In 2002, he had his board certification in Maxillofacial Surgery, as well as in Dental Surgery. In 2005, an additional qualification in Plastic Surgery followed. In 2006, Professor had habilitation and received Venia legendi in Maxillofacial Surgery (Subject: "Monitoring and optimization of perfusion of microsurgical grafts and the development of retrograde perfusion of perforated lobes in the mouth, maxillofacial area and face"). In 2006, he became Fellow of the European Board of Oro-Maxillo-Facial Surgery (FEBOMFS, Barcelona). Since 2007 till 2011, he worked as Senior Physician and Deputy Head of the Department of Maxillofacial Surgery at the University Hospital Rechts der Isar Munich. Since 2011, he has been the Head of the Department of Oral and Maxillofacial Surgery at the University Hospital RWTH Aachen.
Memberships in Professional Societies
- German Society of Oral and Maxillofacial Surgery, Working Group on Jaw Surgery in this society.
- German Society for Dental, Oral, and Maxillofacial Surgery.
- German Society of Plastic, Reconstructive and Aesthetic Surgeons.
- Interplast-Germany.
- Association of German Universities.
- Member and Participant of the Advisory Board of the German-Austrian-Swiss Working Group on Tumors in the Maxillofacial Region (DÖSAK).
- German Advisor of the European Association for Cranio-Maxillofacial Surgery.
- Member of the International Team of Implantologists.
Awards and Honors
- 2007 Martin Wassmund Prize of the German Society of Oral and Maxillofacial Surgery for the work on the subject: "Monitoring and optimization of perfusion of microsurgical grafts and the development of retrograde perfusion for perforation flaps in maxillofacial surgery."
- 2008 Scientific Journal of Cranio-Maxillo-Facial Surgery, for "Top 10 Most-Cited Articles 2006-2008", second place.
- 2009 Scientific Journal of Cranio-Maxillo-Facial Surgery, "Top 25 Hottest Articles", third place.
- 2014 Prize of the Faculty of Medicine of the Rhine-Westphalian Technical Aachen University for the Best Dissertation (as Scientific Supervisor).
- 2014 Borchers-Plakette Prize of the Rhine-Westphalian Technical Aachen University (as Scientific Supervisor).
Photo of the doctor: (c) Uniklinik RWTH Aachen
About hospital
According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals!
As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the accurate diagnostics, effective therapy and productive research activities within one specialized center.
The hospital has more than 60 departments, institutes and interdisciplinary centers. A competent team of professionals, consisting of more than 7,000 employees (more than 940 doctors, including about 95 professors), takes care of the patients' health. In addition, multidisciplinary teams of nurses, physiotherapists, as well as medical and technical staff are available here. The patients and respectful attitude to their social, cultural and religious affiliations are at the center of all employees' efforts.
The cornerstone of the successful clinical practice is the innovative technical base. The hospital offers the most advanced diagnostic and therapeutic equipment. Thus, the hospital has all the resources in order to provide top-class medical services.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the University Hospital RWTH Aachen live in comfortable single and double rooms. All patient rooms are designed with large windows, so one can enjoy a beautiful landscape view. Each patient room has an ensuite bathroom. The standard room furnishing includes an automatically adjustable bed, a bedside table, a spacious wardrobe, a TV, a radio and a telephone. Also, there is Wi-Fi access.
Meals and Menus
The patient and his accompanying person have a daily choice of three menus. If for any reason you do not eat all the foods, 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
Religious services are available upon request.
Accompanying person
During the inpatient program, an accompanying person may stay with you in a patient room or at the hotel of your choice.
Hotel
During the outpatient program, you can live at a hotel of your choice. Managers will help you to choose the most suitable options.
The hospital offers a full range of laboratory tests (general, hormonal, tests for infections, antibodies, tumor markers, etc.), genetic tests, various modifications of ultrasound scans, CT scans, MRI and PET / CT, angiography, myelography, biopsy and other examinations. Treatment with medications, endoscopic and robotic operations, stereotaxic interventions is carried out here, modern types of radiation therapy are also used. The hospital offers patients all the necessary therapeutic techniques.
- Embolization of tumors and vascular malformations
- Aortic surgery, including in children
- Radiosurgical interventions in the head and body region
- Cochlear implantation
- Treatment of all types of sports injuries
These are pathologies of the brain and spinal cord, benign and malignant tumors of various localizations, congenital and acquired heart defects, joint pathologies, stroke, neurodegenerative diseases, eye injuries, inflammatory skin diseases, allergies and other pathologies.
- Oncology (EU Regional Center for Comprehensive Cancer Care Aachen)
- Pediatric cardiac surgery
- General and abdominal surgery
- Plastic and burn surgery
- Pediatric and adolescent medicine
Over 940 highly qualified doctors work at the hospital.
