title: An outcome of Surgically Treated Head and Neck Cancer in one of the tertiary Referral Center in the East Coast of Malaysia: A 6-year Retrospective Analysis.
abstract: BACKGROUND
  Surgical management of head and neck cancer is undoubtedly challenging, and we would like to see the outcome of managing such cases at one of the tertiary referral center in the East Coast of Malaysia.
  
  
  METHODS
  A 6-year retrospective analysis of surgically treated head and neck cancer cases in Hospital Tengku Ampuan Afzan (HTAA) Kuantan, Pahang was conducted.
  
  
  RESULTS
  The total number of patients reviewed was 55 and mean age of the patients was 59 years (SD 12). The larynx was the most common surgically treated site (29.1%), followed by the oral cavity (16.4%) and the paranasal sinuses (14.5%). Majority of the patients presented with stage III (32.8%) and stage IV (41.8%) cancer. Post-operative local complications (23.6%) and wound breakdown was identified as the most common cause (20%). Low hemoglobin level prior to surgery was associated with anemia after surgery (P = 0.007) and prolonged hospital stay (P = 0.030). Tumor recurrence was observed in 21.8% of the cases. Advanced stage tumor had more percentage of positive margin than early stage tumor i.e., 23% in early stage versus 58% in advanced stage (P = 0.050).
  
  
  CONCLUSIONS
  Surgical management of head and neck cancer in this center has an acceptable outcome.
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, Kulliyyah of Medicine, International Islamic University Malaysia, Jalan Hospital 25100, Kuantan Pahang, Malaysia.
authors.forename: Kahairi
authors.initials: K
authors.lastname: Abdullah
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, Kulliyyah of Medicine, International Islamic University Malaysia, Jalan Hospital 25100, Kuantan Pahang, Malaysia.
authors.forename: Raja Ahmad
authors.initials: RA
authors.lastname: Raja Lope Ahmad
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, Kulliyyah of Medicine, International Islamic University Malaysia, Jalan Hospital 25100, Kuantan Pahang, Malaysia.
authors.forename: Zamzil Amin
authors.initials: ZA
authors.lastname: Asha'ari
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, Kulliyyah of Medicine, International Islamic University Malaysia, Jalan Hospital 25100, Kuantan Pahang, Malaysia.
authors.forename: Mohd Sayuti
authors.initials: MS
authors.lastname: Razali
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, Kulliyyah of Medicine, International Islamic University Malaysia, Jalan Hospital 25100, Kuantan Pahang, Malaysia.
authors.forename: Wan Islah
authors.initials: WI
authors.lastname: Leman
keywords: complications; head and neck cancer; recurrence; surgery