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Role of surgical treatment for esthesioneuroblastomas: 31-Year experience at a single institution

Authors
 Chi Sang Hwang  ;  Young Wook Seo  ;  Sang Chul Park  ;  Hyo Jin Chung  ;  Hyung-Ju Cho  ;  Joo-Heon Yoon  ;  Chang-Hoon Kim 
Citation
 Journal of Cranio-maxillo-facial Surgery, Vol.45(1) : 120-126, 2017 
Journal Title
 Journal of Cranio-maxillo-facial Surgery 
ISSN
 1010-5182 
Issue Date
2017
MeSH
Adolescent ; Adult ; Aged ; Child ; Combined Modality Therapy ; Disease-Free Survival ; Esthesioneuroblastoma, Olfactory/surgery* ; Esthesioneuroblastoma, Olfactory/therapy ; Female ; Humans ; Male ; Middle Aged ; Nasal Cavity/surgery* ; Nose Neoplasms/surgery* ; Retrospective Studies ; Treatment Outcome ; Young Adult
Keywords
Concurrent chemoradiotherapy ; Esthesioneuroblastoma ; Olfactory neuroblastoma ; Prognostic factor ; Radiotherapy ; Surgical procedure
Abstract
OBJECTIVE: This study aimed to re-assess the outcomes of different surgical methods for esthesioneuroblastoma (ENB) in a single institution, with emphasis on changes in surgical treatment with regard to endoscopic approaches in patients with ENB. SUBJECTS AND METHODS: We retrospectively reviewed the data of 35 patients with ENB treated over the last 31 years. RESULTS: The 5-year overall and disease-free survival rates were 66.8% and 50.8%, respectively. Disease-free survival in the endoscopic surgery group was significantly higher compared to that of craniofacial surgery group (P = 0.035). In the endoscopic surgery group, nine of 10 patients did not exhibit local failure or regional recurrence over a mean followup period of 64.3 months, which was longer than the mean time to recurrence (22.0 months) observed in this study. CONCLUSION: Given its significant survival outcomes and high rate of local control, endoscopic surgery could be preferred as a minimally invasive treatment with potentially low morbidity and possible oncological validity for the treatment of ENB.
Full Text
http://www.sciencedirect.com/science/article/pii/S1010518216302396
DOI
10.1016/j.jcms.2016.10.004.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chang Hoon(김창훈) ORCID logo https://orcid.org/0000-0003-1238-6396
Park, Sang Chul(박상철)
Seo, Young Wook(서영욱)
Yoon, Joo Heon(윤주헌)
Chung, Hyo Jin(정효진)
Cho, Hyung Ju(조형주) ORCID logo https://orcid.org/0000-0002-2851-3225
Hwang, Chi Sang(황치상)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154347
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