대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)
- 제11권2호
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- Pages.158-166
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- 1995
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- 1229-5183(pISSN)
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- 2586-2553(eISSN)
후두 및 하인두암 수술에 있어서 피부절개의 선택
Choice of Skin Incision for Surgery of Laryngeal and Hypopharyngeal Cancer
- 최은창 (연세대학교 의과대학 이비인후과학교실) ;
- 공석철 (연세대학교 의과대학 이비인후과학교실) ;
- 김영호 (연세대학교 의과대학 이비인후과학교실) ;
- 김은서 (연세대학교 의과대학 이비인후과학교실) ;
- 홍원표 (연세대학교 의과대학 이비인후과학교실)
- Choi Eun-Chang (Department of Otorhinolaryngology Yonsei University College of Medicine) ;
- Kong Seok-Cheol (Department of Otorhinolaryngology Yonsei University College of Medicine) ;
- Kim Young-Ho (Department of Otorhinolaryngology Yonsei University College of Medicine) ;
- Kim Eun-Seo (Department of Otorhinolaryngology Yonsei University College of Medicine) ;
- Hong Won-Pyo (Department of Otorhinolaryngology Yonsei University College of Medicine)
- 발행 : 1995.11.01
초록
Planning of the skin incision is one of the most important point for safe removal of the head and neck cancer. The fact that so many types of incisions exist is strong testimony that there is hardly one incision that fits all situation. Factors that influence the choice are adequate exposure, changeability to other types of neck dissection, optimal exposure of the primary site and/or opposite side of the neck, and safety of the neck flap and cosmesis. Laryngeal and hypopharyngeal carcinomas are the most common tumor of the head and neck, even though there are so many diverse situation exist, there must be an optimal approach to each case. From 1992 to 1994 surgical approaches used for laryngeal and hypopharyngeal carcinoma at the Severance Hospital were reviewed. Types of surgical approaches, its pitfall, advantage and disadvantages were reviewed.