Korean Journal of Head & Neck Oncology (대한두경부종양학회지)
- Volume 13 Issue 1
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- Pages.40-44
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- 1997
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- 1229-5183(pISSN)
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- 2586-2553(eISSN)
A Clinical Study of Medial Maxillectomy
내측상악부분절제술의 임상적 고찰
- Cho Seung-Ho (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University) ;
- Kim Hyung-Tae (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University) ;
- Kim Min-Sik (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University) ;
- Sun Dong-Il (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University) ;
- Park Young-Hak (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University) ;
- Jung Min-Kyo (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University)
- 조승호 (가톨릭대학교 의과대학 이비인후과학교실) ;
- 김형태 (가톨릭대학교 의과대학 이비인후과학교실) ;
- 김민식 (가톨릭대학교 의과대학 이비인후과학교실) ;
- 선동일 (가톨릭대학교 의과대학 이비인후과학교실) ;
- 박영학 (가톨릭대학교 의과대학 이비인후과학교실) ;
- 정민교 (가톨릭대학교 의과대학 이비인후과학교실)
- Published : 1997.05.01
Abstract
Background: Lateral rhinotomy and medial maxillectomy, an en bloc resection of the medial maxillary sinus, ethmoid sinus with the lamina papyracea, medial orbital floor, and lacrimal fossa-duct, have been advocated for lateral nasal wall neoplasms as a standard approach method. Objective: This report was conducted to investigate the clinical efficacy of lateral rhinotomy and medial maxillectomy for lateral nasal wall neoplasms. Materials and Methods: We retrospectively analyzed clinical data of 31 patients who were treated at department of otolaryngology-head and neck surgery, Catholic university of Korea, school of medicine between 1990 and 1996. Results: Twenty five patients had benign lesions(80.6%). By far, the largest percentage was inverted papillomas(80%, 20/25). Of the six malignant lesions(19.4%), 33.3%(2/6) was squamous cell carcinoma and other lesions were metastatic renal cell carcinoma, adecarcinoma, transitional cell cacinoma, and hemangiopericytoma. There were a 4% recurrence for benign tumors(1/25), 5% especially for inverted papilloma(1/20), and 50% for malignant neoplasms(3/6). The overall complication rate was 9.7%. Conclusion: Despite the various approach for treatment of lateral nasal wall neoplasms including inverted papilloma, we continue to advocate a lateral rhinotomy and medial maxillectomy as the treatment of choice.