Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

Clinical study on mandibular invasion by oral cancer

구강암의 하악골 침윤에 관한 임상적 연구

  • Kim, B.Y. (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, H.J. (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Cha, I.H. (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Lee, E.W. (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • 김병용 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김형준 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 차인호 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 이의웅 (연세대학교 치과대학 구강악안면외과학교실)
  • Published : 1994.12.31
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Abstract

For the complete cure of oral cancer suspected to have invaded the mandible in clinical & radiological evaluation, the mandible resection in planned. The aim of this clinical study was to help in decision making in the method & the extent of the mandibular resection surgery. This study was conducted on 46 oral cancer patients, who received cancer surgery including mandibulectomy. And we evaluated the relationship between the pathologic results of resected mandible and the location, size and clinical newk node involvement, tumor cell differentiation. The results are that ; (1) Hiher incidence of bone invasion patterns were observed in tumor of mouth floor & gingiva compared to those of tongue & tonsil, and (2) No significant relationship was found between bone invasion of tumor and tumor size, neck node involvement tumor cell differentiation. The approximation between tumor and bone seems to be the most reliable factor among the other factors in decision making of mandibular resection.

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