구강암 환자에서 보존적 경부청소술의 효과
The effect of conservative neck dissection in the patients with oral cancer
김방신, 허다니엘, 김경락, 양지웅, 정연욱, 국민석, 오희균, 유선열, 박홍주,
소속 상세정보
김방신 ( Kim Bang-Sin ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
허다니엘 ( Hur Daniel ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
김경락 ( Kim Kyung-Rak ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
양지웅 ( Yang Ji-Woong ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
정연욱 ( Jeong Youn-Wook ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
국민석 ( Kook Min-Suk ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
오희균 ( Oh Hee-Kyun ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
유선열 ( Ryu Sun-Youl ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
박홍주 ( Park Hong-Ju ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
KMID : 0355620100360060490
Abstract
Introduction: This study examined the effect of a conservative neck dissection in patients with head and neck cancer.
Materials and Methods : A total of 24 patients, who underwent a conservative neck dissection for the treatment of oral cancer from January 2002 to December 2007, were included. All procedures were performed by one oral and maxillofacial surgeon. The mean age was 58.2 years (range, 19 to 79 years). The medical recordings, pathologic findings, and radiographic findings were evaluated. The mean follow up period was 41.1 months (range, 4 to 88 months).
Results: 1. Oral cancer was more common in men than women with a 3:1 ratio. 2. Histopathologically, squamous cell carcinoma(83%) was the most prevalent oral cancer in this study. 3. The most common primary site was the tongue(6 cases, 25%) followed by the mouth floor (5 cases, 21%), buccal mucosa (3 cases, 13%), lower lip, mandible, palate (2 cases, respectively) and salivary gland, retromolar area, oropharynx, alveolus (1 case, each). 4. Three out of the 24 (13%) subjects had a recurrence at the primary sites. 5. Two out of 24 (8%) subjects had a distant metastasis. 6. All 24 patients survived and there were eleven patients who passed 5 years postoperatively.
Conclusion: A conservative neck dissection is a reliable and effective method for controlling neck node metastases in patients with oral cancer of the N0 or N1 neck node without serious complications.
키워드
Conservative neck dissection; Radical neck dissection; Oral cancer
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