Samenvatting
Background: Head and neck cancers are associated with significant morbidity and mortality. Previous report suggested a low level of practice of maxillofacial oncology in Nigeria, even in the face of significant burden of head and neck cancers in our environment.
Material and methods: This study was a questionnaire based cross sectional survey of known maxillofacial surgeons in Nigeria with regards to the scope and determinants of the practice of cancer
surgical care.
Results: A total of fifty three oral and maxillofacial surgeons participated in this survey. All respondents were involved in cancer surgery, however, 18 of the respondents only managed between 6 10 cases per year. An overwhelming majority of the respondents (39, 73.6%) worked in teaching hospitals. Thirty six (67.9%) of the respondents managed cancer patients without a multidisciplinary care team. Multimodal treatment including radiotherapy was only rarely available. Capacity for reconstruction was limited as only 4 of the respondents were competent to carry out microvascular tissue transfer.
Conclusion: This cross-sectional study has revealed the relative weakness and deficiency in the scope of oncologic maxillofacial surgery in Nigeria. Although these findings may be a reflection of our status as a developing nation, urgent steps need to be taken to address the deficiencies in view of the poor outlook of head and neck cancers even in the developed world.
Keywords: Scope, determinants, practice, maxillofacial, oncology, Nigeria
Résumé
Contexte: Les cancers de la tête et du cou sont associés à une morbidité et à une mortalité significative. Les rapports précédentssuggèrent un faible niveau de pratique de l’oncologie maxillo-faciale au Nigéria, même en raison d’un fardeau important du cancer de la tête et du cou dans notre environnement.
Matériel et méthodes: Cette étude était une enquête transversale basée sur un questionnaire sur les chirurgiens maxillo-faciaux connus au Nigeria en ce qui concerne la portée et les déterminants de la pratique des soins chirurgicaux cancéreux par les chirurgiens maxillo-faciaux.
Résultats: Un total de cinquante-trois chirurgiens bucco-dentaires et maxillo-faciaux ont participé à cette enquête. Tous les répondants ont participé à une opération de cancérologie, mais 18 répondants seulement ont réussi à gérer entre 6 à 10 cas par an. Une majorité accablante des répondants (39; 66%) travaillaient dans les hôpitaux d’enseignement. Trente-six (67; 9%) des répondants gèrent des patients atteints de cancer sans une équipe de soins multidisciplinaires. Le traitement multimodal, y compris la radiothérapie,n’était que rarement disponible. La capacité de reconstruction était limitée car seulement 4 des répondants étaient compétents pour effectuer le transfert de tissu micro-vasculaire.
Conclusion: Cette étude transversale a révélé la faiblesse relative et la carence dans le cadre de la chirurgie oncologiquemaxillo-faciale au Nigeria. Bien que ces résultats reflètent notre statut de pays en voie de développement, des mesures urgentes doivent être prises pour remédier aux carences en raison de la mauvaise visibilité des cancers de la tête et du cou, même dans le monde développé.
Mots-clés: Portée, déterminants, pratique, maxillo-faciale, oncologie, Nigéria
Correspondence: Dr. V.I. Akinmoladun, Department of Oral and Maxillofacial Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria. Email:viakinmoladun@gmail.com
Referenties
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