What are the hazards of tongue cancer to patients? Tongue cancer is a malignant tumor with great harm, which is often ulcerative or invasive, grows fast, is painful, and has strong invasiveness. Patients with this disease must pay great attention to it and receive treatment as soon as possible to avoid endangering their lives. Let's learn about the hazards of tongue cancer to patients. 1. Vascular obstruction of flaps: Vascular crisis of vascular anastomosis flaps generally occurs 24 to 72 hours after surgery. Arterial ischemia is manifested as pale flaps, low skin temperature, and no bleeding after acupuncture. Venous reflux obstruction is manifested as bruises and dark purple skin. Strict head and neck immobilization should be performed after surgery, vasodilators and anticoagulants should be used correctly, and flap survival should be closely observed. Once a crisis is found, it should be treated within 6 to 8 hours: cut off the anastomotic vessels, remove blood stasis, and re-anastomose. When pedicled flaps have vascular obstruction, the surrounding area and pedicles can be loosened and blood pressure can be lowered. Vascular obstruction should be discovered and treated early. Do not hesitate or wait, otherwise the opportunity will be missed and flap necrosis will be inevitable. 2. Infection: The patient can be diagnosed if he or she has high fever, elevated leukemia, redness, swelling, heat and pain in the surgical area after surgery. Active anti-infection treatment should be carried out, adequate drainage should be provided, and antibiotics can be selected and used rationally based on the results of bacterial culture and drug sensitivity. 3. Salivary fistula: caused by failure to suture the lower pole of the parotid gland tightly during surgery. It manifests as drainage of watery fluid and a positive amylase test. Pressure bandage can be applied to the parotid area, atropine can be taken orally or intramuscularly before meals, and the submandibular incision can be reopened if necessary, and the lower pole of the parotid gland can be properly sutured. For those who need radiotherapy after surgery, the parotid area can be irradiated 8 to 10 times to atrophy it. 4. Chyle leakage: caused by damage to the left thoracic duct and right lymphatic duct during neck lymph node dissection. White turbid and watery fluid can be seen flowing out of the drainage and clavicle wound. The negative pressure drainage can be removed and replaced with film drainage and pressure bandage. If necessary, the planing incision can be opened and the stump of the lymphatic duct can be sutured. Some patients with advanced tongue cancer also have liver metastasis. The corresponding common harms include pain in the liver area, the most common of which is intermittent or continuous dull pain or distending pain. This pain can radiate to the right shoulder or right back. Tumors growing to the right back can cause right waist pain. There are digestive tract harms such as loss of appetite, indigestion, nausea, vomiting and diarrhea. Fatigue, weight loss, general weakness, and fever. |
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