Orofacial Cancers: Pattern and Management in Ibadan, Nigeria

  • Olusanya A A University College Hospital, Ibadan
  • Adisa A O University College Hospital, Ibadan
  • Timothy O Aladelusi University College Hospital, Ibadan
  • Lawal O A University College Hospital, Ibadan
  • Adeyemi B F University College Hospital, Ibadan
  • Gbolahan O O University College Hospital, Ibadan
  • Akinmoladun V I University College Hospital, Ibadan
  • Daniel K University College Hospital, Ibadan
  • Folasire F University College Hospital, Ibadan
  • Okoje-Adesomoju V N University College Hospital, Ibadan
  • Kolude B University College Hospital, Ibadan
  • Ogunnorin O O University College Hospital, Ibadan
  • Ibiyemi O University College Hospital, Ibadan
  • Olu- Kolade University College Hospital, Ibadan
  • Asaolu A University College Hospital, Ibadan
  • Sigbeku O University College Hospital, Ibadan
  • Oladeji . University College Hospital, Ibadan
  • Babarinde T O University College Hospital, Ibadan
  • Olaniran F O University College Hospital, Ibadan
  • Fasola A O University College Hospital, Ibadan
  • Arotiba J T University College Hospital, Ibadan
Keywords: Orofacial cancer, outcome, survival, Nigeria

Abstract

Background: Orofacial cancers remain a significant health burden globally, especially in the developing countries where the incidence is higher and appears to be increasing. This study aims to document the pattern, management and survivorship of patients with orofacial cancers as seen at a tertiary healthcare facilityin Nigeria.

Materials and Methods: This is a retrospective study of patients who presented at our centre with orofacial cancers in the period between January 2010 and December. Patients' demographics, location of lesion, histopathological diagnosis, treatment given and follow-up events were extracted from the records. Patient with insufficient data for analysis were excluded. Data was analysed using IBM SPSS version 21.

Results: 21,090 patients were seen during the study period and 228 of the 1,029 biopsies done were  malignant. The study included 213 patients (121 males and 92 females. mean age 48.2 years) with orofacial cancers. The commonest sites were the jaws (48.8%), palate (13.1%) and the tongue (7.5%).Carcinomas constituted 71.8% and were the commonest malignancies. All patients presented in stages III (34.6%) or IV (65.4%). 39.4% of patients had no treatment instituted and surgery alone (21.9%) was the commonest treatment provided. The mean interval between treatment and recurrence was 3.0 months while mean expiration period was 13.5 months.

Conclusion: Treatment conferred a higher probability of survival. Patients treated with surgery (and radiotherapy/chemotherapy) survived better than those treated non-aggressively. In general, about a third (30.8%) of orofacial cancer patients were alive at 5 years post presentation and about 50% of these survivors were living with the disease.

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Author Biographies

Olusanya A A, University College Hospital, Ibadan

Department of Oral and Maxillofacial Surgery

Adisa A O, University College Hospital, Ibadan

Department of Oral Pathology

Timothy O Aladelusi, University College Hospital, Ibadan

Department of Oral and Maxillofacial Surgery

Lawal O A, University College Hospital, Ibadan

Department of Oral Pathology

Adeyemi B F, University College Hospital, Ibadan

Department of Oral Pathology

Gbolahan O O, University College Hospital, Ibadan

Department of Oral and Maxillofacial Surgery

Akinmoladun V I, University College Hospital, Ibadan

Department of Oral and Maxillofacial Surgery

Daniel K, University College Hospital, Ibadan

Department of Otorhinolaryngology

Folasire F, University College Hospital, Ibadan

Department of Radio-Oncology

Okoje-Adesomoju V N, University College Hospital, Ibadan

Department of Oral and Maxillofacial Surgery

Kolude B, University College Hospital, Ibadan

Department of Oral Pathology

Ogunnorin O O, University College Hospital, Ibadan

Department of Radio-Oncology

Ibiyemi O, University College Hospital, Ibadan

Department of Community Dentistry

Olu- Kolade, University College Hospital, Ibadan

Departent of Psychiatry

Asaolu A, University College Hospital, Ibadan

Department of Social Services

Sigbeku O, University College Hospital, Ibadan

Department of Oral Pathology

Oladeji ., University College Hospital, Ibadan

Department of Radio-Oncology

Babarinde T O, University College Hospital, Ibadan

Department of Oral and Maxillofacial Surgery

Olaniran F O, University College Hospital, Ibadan

Department of Oral and Maxillofacial Surgery

Fasola A O, University College Hospital, Ibadan

Department of Oral and Maxillofacial Surgery

Arotiba J T, University College Hospital, Ibadan

Department of Oral and Maxillofacial Surgery

Published
2019-04-17
Section
Articles