구강암환자의 경부청소술

Neck Dissection in Oral Cavity Cancer

  • 박주용 (국립암센터 구강종양클리닉)
  • 투고 : 2010.08.12
  • 심사 : 2010.08.24
  • 발행 : 2010.08.01

초록

Lymph node status is the single most important prognostic factor in oral cancer because lymph node involvement decreases overall survival by 50%. Appropriate management of the regional lymphatics, therefore, plays a central role in the treatment of the oral cancer patients. The purposes of this article are to present the history of neck dissections, including current neck dissection classification, describe the technique of the most common neck dissection applicable to oral cavity cancers, and discuss some of the complications associated with neck dissection. Finally, a brief review of elective neck dissection and sentinel lymph node biopsy will be presented. It is necessary that dentists have to be interested in oral cancer and these interest will make it possible to prevent oral cancer, detect it earlier and also improve the prognosis, survival and the quality of life of survivors.

키워드

참고문헌

  1. Holmes JD. Neck dissection: nomenclature, classification, and technique. Oral Maxillofac Surg Clin North Am. 2008 Aug;20(3):459-75. Review. https://doi.org/10.1016/j.coms.2008.02.005
  2. Ferlito A, Rinaldo A, Robbins KT, Silver CE. Neck dissection: past, present and future? J Laryngol Otol. 2006 Feb;120(2):87-92. Epub 2005 Nov 25.
  3. Ferlito A. et al. Neck dissection: then and now. Auris Nasus Larynx. 2006 Dec;33(4):365-74. Epub 2006 Aug 4. https://doi.org/10.1016/j.anl.2006.06.001
  4. Robbins KT, et al. Neck dissection classification update: revisions proposed by the American Head and Neck Society and the American Academy of Otolaryngology-Head and Neck Surgery. Arch Otolaryngol Head Neck Surg. 2002 Jul;128(7):751-8.
  5. Robbins KT. et al. Consensus statement on the classification and terminology of neck dissection. Arch Otolaryngol Head Neck Surg. 2008 May;134(5):536-8. https://doi.org/10.1001/archotol.134.5.536
  6. Hasegawa Y, Saikawa M. Update on the classification and nomenclature system for neck dissection: revisions proposed by the Japan Neck Dissection Study Group. Int J Clin Oncol. 2010 Feb;15(1):5-12. Epub 2010 Jan 27. https://doi.org/10.1007/s10147-009-0019-z
  7. Pagedar NA, Gilbert RW. Selective neck dissection: a review of the evidence. Oral Oncol. 2009 Apr-May;45(4-5):416-20. Epub 2008 Dec 16. Review. https://doi.org/10.1016/j.oraloncology.2008.09.001
  8. Iype EM, Sebastian P, Mathew A, Balagopal PG, Varghese BT, Thomas S. The role of selective neck dissection (I-III) in the treatment of node negative (N0) neck in oral cancer. Oral Oncol. 2008 Dec;44(12):1134-8. Epub 2008 May 16 https://doi.org/10.1016/j.oraloncology.2008.02.017
  9. Givi B, Andersen PE. Rationale for modifying neck dissection. J Surg Oncol. 2008 Jun 15;97(8):674-82. https://doi.org/10.1002/jso.21016
  10. Kowalski LP, Sanabria A. Elective neck dissection in oral carcinoma: a critical review of the evidence. Acta Otorhinolaryngol Ital. 2007 Jun;27(3):113-7.
  11. Carlson ER, Miller. Surgical management of the neck in oral cancer. Oral Maxillofac Surg Clin North Am. 2006 Nov;18(4):533-46. https://doi.org/10.1016/j.coms.2006.06.002
  12. Nikolarakos D, Bell RB. Management of the nodepositive neck in oral cancer.Oral Maxillofac Surg Clin North Am. 2008 Aug;20(3):499-511. https://doi.org/10.1016/j.coms.2008.03.005
  13. Cheng A, Schmidt BL. Management of the N0 neck in oral squamous cell carcinoma. Oral Maxillofac Surg Clin North Am. 2008 Aug;20(3):477-97. Review. https://doi.org/10.1016/j.coms.2008.02.002
  14. Potter JK, Osborn TM. Preparation of the neck for microvascular reconstruction of the head and neck. Oral Maxillofac Surg Clin North Am. 2008 Aug;20(3):521-6. https://doi.org/10.1016/j.coms.2008.04.004
  15. Cappiello J, Piazza C, Nicolai P. The spinal accessory nerve in head and neck surgery. Curr Opin Otolaryngol Head Neck Surg. 2007 Apr;15(2):107-11. https://doi.org/10.1097/MOO.0b013e3280523ac5
  16. 김명진 외. 구강암. 지성출판사 2002 :469-495
  17. 장혁순 외. 두경부외과학. 한국의학사 2005 :341-373
  18. 김종선 외. 이비인후과학. 일조각 2006 :1514-1538
  19. Murakami R et al. Impact of FDG-PET imaging on nodal staging for head-and-neck squamous cell carcinoma. Int J Radiation Oncology Biol Phys 2007 68(2):377-382 https://doi.org/10.1016/j.ijrobp.2006.12.032
  20. Kuriakose MA, Trivedi NP. Sentinel node biopsy in head and neck squamous cell carcinoma. Curr Opin Otolaryngol Head Neck Surg. 2009 Apr;17(2):100-10. https://doi.org/10.1097/MOO.0b013e3283293631