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상악동 편평세포암종의 수술적 치료에 있어서 측두아래오목과 날개구개오목 절제의 의의

Other Titles
 The Significance of Pterygopalatine Fossa and Infratemporal Fossa Dissection in the Surgical Treatment of Maxillary Squamous Cell Carcinoma 
Authors
 최재영  ;  김동영  ;  윤주헌  ;  최은창 
Citation
 Korean Journal of Head & Neck Oncology (대한두경부종양학회지), Vol.15(1) : 40-45, 1999 
Journal Title
Korean Journal of Head & Neck Oncology(대한두경부종양학회지)
ISSN
 1229-5183 
Issue Date
1999
Keywords
Maxillary sinus cancer ; Maxillectomy ; Squamous cell carcinoma ; Pterygopalatine fossa ; Infratemporal fossa
Abstract
Objectives: Maxillary cancer is notorious for its poor prognosis because it is usually detected lately and the majority of patients have advanced disease. Especially when the cancer extended to infratemporal fossa or pterygopalatine fossa it is very difficult to remove all the involved structure by conventional maxillectomy. In these cases we have used radical maxillectomy through lateral approach. We tried to figure out the clinical significance of this procedure. Material and Methods: This study retrospectively analyzed 23 patients with squamous cell carcinoma of the maxillary sinus who underwent surgical treatment for cure. Among them 17 patients(group A) were treated with initial surgery and 6 patients(group B) underwent salvage surgery after radiotherpy. Radical maxillectomy was performed in 12 patients and conventional total maxillectomy in 11 patients. Results: In group A, 3 out of 9 total maxillectomy case and none of 8 radical maxillectomy case were recurred. In group B one patient died of postoperative complication and among the other 5 patients only one out of 3 radical maxillectomy was salvaged and 2 total maxillectomy cases were died of intercurrent disease. Conclusion: Wide surgical dissection of pterygopalatine fossa and infratemporal fossa may improve the survival rate in patients with posterior wall invasion of maxillary sinus.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Yoon, Joo Heon(윤주헌)
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0001-9493-3458
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172713
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