Bioethical reflections on advanced oral cavity cancer in oral and maxillofacial surgery. Systematic review
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Abstract
Advanced oral cavity cancer is the most common oncological pathology among head and neck tumors for maxillofacial surgeons. That is why, as the disease progresses, a whole series of complex situations can arise, ranging from severe complications to a possible fatal outcome. This review sought to identify and analyze these situations, which are presented as dilemmas that must be addressed through informed and reasoned reflection. This poses a significant challenge for today’s maxillofacial surgeons, who must understand bioethics as a scientific and humanistic discipline that is essential for reflecting on and responding appropriately to these situations. The enormous scientific and technical development of the specialty cannot be ignored when it comes to the care that must be provided to cancer patients, especially in the face of the possibility of abandonment, futility, and therapeutic obstinacy. On the contrary, it must be a guarantee that the vulnerability of the patient will be cared for and protected at all times. This requires the acquisition of new skills that allow us to integrate all the useful elements that ensure respect for the dignity and quality of life of the person.
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