Surgical Approach for Oral Cavity Cancer.
10.3342/kjorl-hns.2010.53.3.159
- Author:
Yong Bae JI
1
;
Keon PARK
;
Jong Min KIM
;
Kyung TAE
;
Ha Chung CHUN
;
Myung Za LEE
;
Seung Woo KIM
;
Choon Dong KIM
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Hanyang University College of Medicine, Seoul, Korea. kytae@hanyang.ac.kr
- Publication Type:Original Article
- Keywords:
Surgical procedure;
Mouth neoplasm;
Recurrence;
Survival
- MeSH:
Cheek;
Humans;
Lip Neoplasms;
Mandible;
Medical Records;
Mouth;
Mouth Floor;
Mouth Neoplasms;
Neck;
Recurrence;
Retrospective Studies;
Survival Rate;
Tongue
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2010;53(3):159-165
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: In the treatment of oral cancer, appropriate surgical approaches should be chosen in order to eradicate cancer while preserving the function of oral cavity and facial contour. This study was performed to evaluate the usefulness and effectiveness of various surgical approaches in the surgical treatment of oral cancer. SUBJECTS AND METHOD: A total of 112 oral cancer patients, excepting those with lip cancer, and who underwent surgery from 1994 to Aug 2008, were enrolled. We reviewed medical records retrospectively and analyzed the primary sites, stage, surgical approaches, management of mandible and neck, reconstruction methods, recurrence and survival rates. RESULTS: Of the 112 patients, 64 were transoral, 23 pull-through, 6 mandibular lingual releasing, 6 upper cheek flap , 5 lower cheek flap , 6 mandibulotomy and 2 visor flap approach. Most of T1, T2 lesions could be resected by transoral (71.6%) or pull-through approach (21.0%). In the advanced T3, T4 lesions, transoral (21.9%), pull-through (37.5%), cheek flap (21.9%), mandibulotomy (15.6%) were used. There was no statistically significant difference with respect to locoregional recurrence and survival rate according to surgical approach. CONCLUSION: The transoral approach was the effective method for the surgery of T1, T2 and part of T3 oral cancer. The pull-through or mandibular lingual releasing approach was the effective method of surgery for T2, T3 tongue or floor of mouth (FOM) cancer while avoiding mandibulotomy.
