구강암 절제를 위한 하악골이단술 : 합병증과 기여인자

• 영문명: MANDIBULOTOMY, A SURGICAL APPROACH FOR ORAL CANCER : ITS COMPLICATIONS AND CONTRIBUTING FACTORS
• 발행기관: 대한구강악안면외과학회
• 저자명: 변성규(Seong Kyu Byun) 최은창(Eun Chang Choi) 박원서(Won Se Park) 이의웅(Eui Woong Lee) 차인호(In Ho Cha)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제26권 제4호, 422~426쪽, 전체 5쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2000.08.30

영문 초록

We reviewed 56 patients who received mandibulotomy at Yonsei medical center between 1989 and 1999. We also analysed the complications associated with mandibulotomy and its contributing factors. The complications occur in 16 patients(28.6%) and are classified into two categories; intraoperative and postperative complications. Nonunion was observed in 5 patients and osteoradionecrosis in 5. The patients who received preoperative radiation therapy were more tend to develop nonunion and osteoradionecrosis. This study suggests the benefits of mandibulotomy as a surgical approach to oral cancer: 1. Paramedian osteotomy was recommended for preservation of neurovascular bundle and ease of surgical access. 2. By using thin saw blade, reapproximation was improved with minimal bone loss. 3. osteotomy on anterior mandible which lies outside the usual portals of radiation therapy decreases the incidence of osteoradionecrosis.

목차

Abstract

Ⅱ. 연구재료 및 방법

Ⅲ. 연구결과

Ⅳ. 고찰

Ⅴ. 결론

참고문헌

키워드

Oral cancer Mandibulotomy Complication