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Viva Question and Answers Related to Tumors of Oral cavity

Here are 50 viva questions and answers related to tumors of the oral cavity:

  1. What are the common types of tumors that occur in the oral cavity?
    • Squamous cell carcinoma, mucoepidermoid carcinoma, adenoid cystic carcinoma, and fibroma are common types.
  1. What is the most common malignant tumor of the oral cavity?
    • Squamous cell carcinoma.
  1. What are the risk factors associated with oral cavity tumors?
    • Tobacco use (smoking or chewing), alcohol consumption, human papillomavirus (HPV) infection, and poor oral hygiene.
  1. How do oral cavity tumors typically present clinically?
  1. What is the role of biopsy in diagnosing oral cavity tumors?
    • Biopsy is essential for confirming the diagnosis and determining the histological type of the tumor.
  1. What imaging modalities are used in the evaluation of oral cavity tumors?
    • CT scan, MRI, and PET-CT are commonly used for staging and assessing the extent of the tumor.
  1. What is the TNM staging system used for oral cavity tumors?
    • The TNM system classifies tumors based on tumor size (T), lymph node involvement (N), and distant metastasis (M).
  1. How does the location of the tumor in the oral cavity affect treatment?
    • Tumors in different locations may require different surgical approaches or combinations of surgery, radiation, and chemotherapy.
  1. What are the goals of treatment for oral cavity tumors?
  1. What are the surgical options for treating oral cavity tumors?
    • Surgery may involve tumor resection, neck dissection for lymph node involvement, or reconstruction using grafts or flaps.
  1. What is the role of radiation therapy in treating oral cavity tumors?
    • Radiation therapy is used as primary treatment for early-stage tumors or as adjuvant therapy after surgery for advanced tumors.
  1. How does chemotherapy contribute to the management of oral cavity tumors?
    • Chemotherapy may be used in combination with surgery and/or radiation therapy for advanced or metastatic tumors.
  1. What are the potential complications of treatment for oral cavity tumors?
    • Complications may include difficulty in eating and swallowing, speech problems, lymphedema, and cosmetic changes.
  1. How is the prognosis of oral cavity tumors determined?
  1. What are the challenges in managing recurrent oral cavity tumors?
    • Recurrent tumors may be more aggressive and resistant to treatment, requiring a multidisciplinary approach for management.
  1. What is the role of immunotherapy in the treatment of oral cavity tumors?
    • Immunotherapy drugs such as checkpoint inhibitors are being studied for their efficacy in treating advanced or recurrent oral cavity tumors.
  1. How does smoking cessation impact the prognosis of oral cavity tumors?
    • Smoking cessation can significantly improve treatment outcomes and reduce the risk of recurrence in patients with oral cavity tumors.
  1. What are the key factors in determining the choice of treatment for oral cavity tumors?
    • Factors such as tumor size, location, histological type, stage, patient’s overall health, and preferences play a role in treatment decisions.
  1. How do oral cavity tumors differ in presentation and management in pediatric patients?
  1. What is the role of genetic testing in oral cavity tumors?
    • Genetic testing can help identify mutations or genetic markers that influence tumor behavior and response to treatment.
  1. How is pain management addressed in patients with oral cavity tumors?
    • Pain management strategies may include medications, nerve blocks, physical therapy, and psychological support.
  1. What are the long-term surveillance protocols for patients treated for oral cavity tumors?
  1. How does nutrition play a role in the management of patients with oral cavity tumors?
    • Nutrition support is crucial for patients undergoing treatment to maintain strength, manage side effects, and promote healing.
  1. What are the emerging technologies or therapies in the field of oral cavity tumors?
    • Emerging technologies include targeted therapies, immunotherapy, precision medicine approaches, and advances in surgical techniques.
  1. How do age and comorbidities influence treatment decisions for oral cavity tumors?
    • Age and comorbidities can impact treatment tolerance, recovery, and overall prognosis, leading to individualized treatment plans.
  1. What are the challenges in diagnosing and managing rare types of oral cavity tumors?
  1. How does the involvement of dental professionals contribute to the care of patients with oral cavity tumors?
    • Dental professionals play a crucial role in pre-treatment assessment, oral hygiene management, and post-treatment rehabilitation for these patients.
  1. What are the psychological and social aspects of living with oral cavity tumors?
    • Patients may experience emotional distress, changes in body image, social challenges, and need support from healthcare professionals and support groups.
  1. What are the advances in minimally invasive techniques for treating oral cavity tumors?
    • Minimally invasive techniques such as robotic surgery, laser therapy, and endoscopic procedures offer benefits such as faster recovery and reduced morbidity.
  1. How does the molecular profiling of tumors impact treatment decisions in oral cavity cancers?
    • Molecular profiling can help identify targetable mutations or biomarkers, guiding the selection of personalized treatment options.
  1. What are the considerations for palliative care in patients with advanced oral cavity tumors?
  1. How does the location of lymph node metastasis affect the prognosis of oral cavity tumors?
    • The location and extent of lymph node involvement can influence treatment planning, prognosis, and risk of recurrence.
  1. What are the potential complications of neck dissection surgery for oral cavity tumors?
    • Complications may include nerve injury, lymphedema, shoulder dysfunction, and cosmetic changes, requiring comprehensive post-operative care.
  1. How does the histological grade of a tumor impact treatment decisions and prognosis?
    • Higher-grade tumors are often more aggressive and may require more intensive treatment approaches, affecting prognosis and outcomes.
  1. What are the challenges in managing oral cavity tumors in elderly patients?
  1. How does HPV status influence the management and prognosis of oral cavity tumors?
    • HPV-positive tumors may have a better response to treatment and a more favorable prognosis compared to HPV-negative tumors.
  1. What are the roles of speech therapy and swallowing rehabilitation in patients with oral cavity tumors?
    • These therapies help improve communication, swallowing function, and quality of life for patients undergoing treatment and recovery.
  1. How do the principles of multidisciplinary care apply to the management of oral cavity tumors?
    • Multidisciplinary teams involving oncologists, surgeons, radiologists, dentists, nutritionists, and other specialists collaborate to optimize patient care.
  1. What are the considerations for fertility preservation in young patients undergoing treatment for oral cavity tumors?
    • Fertility preservation options and discussions about the impact of treatment on fertility are important aspects of care for young patients.
  1. How does the extent of surgical resection impact functional outcomes in oral cavity tumors?
  1. What are the challenges in managing oral cavity tumors in immunocompromised patients?
    • Immunocompromised patients may have increased susceptibility to infections, delayed wound healing, and require specialized care during treatment.
  1. How does adjuvant therapy contribute to the management of high-risk oral cavity tumors?
    • Adjuvant therapy such as chemotherapy or radiation may be recommended to reduce the risk of recurrence and improve overall survival in high-risk cases.
  1. What are the long-term effects of radiation therapy on oral cavity tissues and function?
    • Radiation therapy can cause long-term effects such as xerostomia (dry mouth), dental complications, fibrosis, and changes in taste sensation.
  1. How does tumor stage influence the choice between organ preservation and radical surgery in oral cavity tumors?
    • Early-stage tumors may be amenable to organ-preserving approaches, while advanced-stage tumors may require more aggressive surgical interventions.
  1. What are the implications of lymphovascular invasion in oral cavity tumors?
    • Lymphovascular invasion is associated with a higher risk of nodal metastasis and may influence treatment decisions and prognosis.
  1. How does the presence of perineural invasion impact the management of oral cavity tumors?
  1. What are the considerations for dental rehabilitation in patients treated for oral cavity tumors?
    • Dental rehabilitation may involve prosthetic devices, implants, and oral hygiene measures to restore function and aesthetics post-treatment.
  1. How does the choice of reconstruction technique after tumor resection affect outcomes in oral cavity tumors?
    • Reconstruction using flaps, grafts, or implants can impact functional outcomes, cosmetic results, and overall patient satisfaction.
  1. What are the challenges in managing oral cavity tumors in resource-limited settings?
    • Resource limitations may impact access to diagnostic tests, treatment modalities, supportive care, and follow-up services for patients with oral cavity tumors.
  1. How does patient education and empowerment contribute to the management of oral cavity tumors?
    • Patient education about the disease, treatment options, self-care practices, and lifestyle modifications empowers patients to actively participate in their care and improve outcomes.

 

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