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Endoscopic Resection of Upper Neck Masses via Retroauricular Approach Is Feasible With Excellent Cosmetic Outcomes

Authors
 Hyoung Shin Lee  ;  Dongwon Lee  ;  Yong Cheol Koo  ;  Hyang Ae Shin  ;  Yoon Woo Koh  ;  Eun Chang Choi 
Citation
 JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, Vol.71(3) : 520-527, 2013 
Journal Title
 JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY 
ISSN
 0278-2391 
Issue Date
2013
MeSH
Adult ; Chi-Square Distribution ; Ear, External ; Endoscopy* ; Esthetics ; Feasibility Studies ; Female ; Head and Neck Neoplasms/surgery* ; Humans ; Length of Stay ; Male ; Middle Aged ; Neck/surgery* ; Operative Time ; Patient Satisfaction ; Postoperative Complications ; Reconstructive Surgical Procedures/methods* ; Retrospective Studies ; Young Adult
Keywords
Adult ; Chi-Square Distribution ; Ear, External ; Endoscopy* ; Esthetics ; Feasibility Studies ; Female ; Head and Neck Neoplasms/surgery* ; Humans ; Length of Stay ; Male ; Middle Aged ; Neck/surgery* ; Operative Time ; Patient Satisfaction ; Postoperative Complications ; Reconstructive Surgical Procedures/methods* ; Retrospective Studies ; Young Adult
Abstract
PURPOSE: In this study, the authors introduce and evaluate the feasibility of endoscopic resection using the retroauricular approach for various benign lesions of the upper neck. PATIENTS AND METHODS: A retrospective comparative analysis was performed on the clinical outcomes of patients who underwent surgery for upper neck masses as endoscopic resection using the retroauricular approach or conventional transcervical resection at the authors' center from January 2010 through August 2011. The primary outcome was the cosmetic satisfaction of the patients in each group. In addition, the feasibility of the procedure was evaluated by comparing the operation time; hospital stay; amount and duration of drainage; complications such as marginal mandibular nerve, lingual, or hypoglossal nerve palsy; paresthesia of the ear lobe; and wound problems such as hematoma and skin necrosis. Statistical analysis was performed by independent-samples t test and the Fisher exact test, and a P value less than .05 was considered statistically significant. RESULTS: Thirty-six patients underwent endoscopic resection (endo group; 15 men, 21 women; mean age, 38.8 ± 15.0 years) and 40 patients underwent conventional transcervical resection (conventional group; 18 men, 22 women; mean age, 45.1 ± 14.1 years). The operating time in the endo group was longer than in the conventional group (P = .003). No significant difference was observed in the overall perioperative complications between the 2 groups. Cosmetic satisfaction evaluated with a graded scale showed much better results in the endo group (P < .001). CONCLUSIONS: Endoscopic resection using the retroauricular approach is feasible for various benign upper neck masses when conducted by an experienced endoscopic surgeon, with excellent cosmetic results.
Full Text
http://www.sciencedirect.com/science/article/pii/S0278239112009135
DOI
10.1016/j.joms.2012.06.170
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kho, Yoon Woo(고윤우)
Lee, Hyoung Shin(이형신)
Choi, Eun Chang(최은창)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86386
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