Chemotherapy and surgical resection combined with immediate reconstruction in a 1-year-old child with rhabdomyosarcoma of the maxilla

Plast Reconstr Surg. 1992 Feb;89(2):320-5. doi: 10.1097/00006534-199202000-00021.

Abstract

Parameningeal head and neck rhabdomyosarcomas of childhood are often considered unresectable and are treated with irradiation and chemotherapy. High-dose radiation therapy has a very long-term detrimental effect on the developing face and also results in many other significant long-range complications. With the availability of advanced craniofacial surgical and free-tissue-transfer techniques, one-stage resection and immediate reconstruction, along with the use of effective preoperative and postresection chemotherapy instead of local radiation, may be the logical approach to the treatment of selected patients with chemosensitive parameningeal head and neck rhabdomyosarcomas.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Combined Modality Therapy
  • Cyclophosphamide / administration & dosage
  • Dactinomycin / administration & dosage
  • Female
  • Humans
  • Infant
  • Maxillary Neoplasms / drug therapy
  • Maxillary Neoplasms / surgery
  • Maxillary Neoplasms / therapy*
  • Rhabdomyosarcoma / drug therapy
  • Rhabdomyosarcoma / surgery
  • Rhabdomyosarcoma / therapy*
  • Surgery, Plastic / methods*
  • Vincristine / administration & dosage

Substances

  • Dactinomycin
  • Vincristine
  • Cyclophosphamide

Supplementary concepts

  • VAC protocol