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Therapeutic robot-assisted neck dissection via a retroauricular or modified facelift approach in head and neck cancer: a comparative study with conventional transcervical neck dissection

Authors
 Won Shik Kim  ;  Hyung Kwon Byeon  ;  Young Min Park  ;  Jong Gyun Ha  ;  Eun Sung Kim  ;  Yoon Woo Koh  ;  Eun Chang Choi 
Citation
 Head & Neck, Vol.37(2) : 249-254, 2015 
Journal Title
 Head & Neck 
ISSN
 1043-3074 
Issue Date
2015
MeSH
Adult ; Aged ; Aged, 80 and over ; Cicatrix/psychology ; Esthetics ; Female ; Head and Neck Neoplasms/pathology* ; Humans ; Male ; Middle Aged ; Neck Dissection/methods* ; Neoplasm Recurrence, Local ; Operative Time ; Patient Satisfaction ; Robotic Surgical Procedures*
Keywords
head and neck cancer ; modified facelift approach ; nodal metastasis ; retroauricular approach ; robot-assisted neck dissection
Abstract
BACKGROUND: In a previous study of robot-assisted neck dissection (RAND), we limited the indication for neck dissection in clinical N0 head and neck cancer. The purpose of this study was for us to present the comparison of the results of therapeutic RAND via a retroauricular or modified facelift approach with outcomes from conventional neck dissection in clinical node-positive head and neck cancer. METHODS: This study involved a total of 53 patients who underwent neck dissection for head and neck cancer. Operative and pathologic parameters were assessed. RESULTS: The RAND and the conventional neck dissection group consisted of 20 and 33 patients, respectively. The mean operative time for the RAND group was significantly longer than that of the conventional neck dissection group. The mean number of retrieved lymph nodes in the RAND group was not significantly different from the conventional neck dissection group. CONCLUSION: Therapeutic RAND via a retroauricular or modified facelift approach was successful with satisfactory esthetic results in patients with node-positive head and neck cancer.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/157067
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/hed.23595/abstract
DOI
10.1002/hed.23595
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실)
Yonsei Authors
고윤우(Kho, Yoon Woo)
김원식(Kim, Won Shik)
김은성(Kim, Eun Sung)
변형권(Byeon, Hyung Kwon)
최은창(Choi, Eun Chang)
하종균(Ha, Jong Gyun)
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