https://scholars.lib.ntu.edu.tw/handle/123456789/569668
標題: | Comparison of long-term outcomes between pull-through resection and mandibular lip-split surgery for T4a tongue/floor of mouth cancers | 作者: | SHIH-JUNG CHENG HUI-HSIN KO JANG-JAER LEE SANG-HENG KOK |
公開日期: | 2018 | 出版社: | John Wiley and Sons Inc. | 卷: | 40 | 期: | 1 | 起(迄)頁: | 144-153 | 來源出版物: | Head and Neck | 摘要: | Background: The purpose of this study was to determine whether the pull-through resection is better than the mandibular lip-split for advanced tongue/floor of mouth (FOM) cancers, which remains inconclusive. Methods: A retrospective cohort study was performed on 91 patients with T4a tongue/FOM cancers from 2009 to 2014. Cases with mandibular resection were excluded. The pull-through resection was used when the mouth opening was ?15 mm; otherwise the mandibular lip-split was used. Results: Fifty-eight patients received pull-through resections and 33 underwent mandibular-lip splits and the mean follow-up periods were 42 and 45 months, respectively. Surgical margin, locoregional recurrence, and 5-year survival were similar between the 2 groups. The pull-through approach had a significantly shorter operation time, lower rates of flap infection, osteoradionecrosis, metal plate exposure, loss of tooth vitality, and better aesthetics. Conclusion: Our data suggest that the pull-through resection does not compromise disease control for advanced tongue/FOM cancers and is superior to the mandibular lip-split in terms of operation time, postoperative complications, and aesthetics. ? 2017 Wiley Periodicals, Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85034236805&doi=10.1002%2fhed.24994&partnerID=40&md5=9be2da6e855ad4f314d1e90453fd9fe6 https://scholars.lib.ntu.edu.tw/handle/123456789/569668 |
ISSN: | 1043-3074 | DOI: | 10.1002/hed.24994 | SDG/關鍵字: | adult; aged; Article; bone necrosis; cancer recurrence; cohort analysis; controlled study; esthetics; female; follow up; human; infection; intermethod comparison; major clinical study; male; mandible resection; mandibular lip split surgery; mouth cancer; mouth floor; operation duration; outcome assessment; postoperative complication; priority journal; pull through operation; retrospective study; surgical margin; surgical technique; survival analysis; tongue cancer; cancer staging; cancer survivor; comparative study; disease free survival; evaluation study; glossectomy; head and neck tumor; mandible osteotomy; middle aged; mortality; mouth floor; nonparametric test; pathology; procedures; risk assessment; squamous cell carcinoma; Taiwan; time factor; tongue tumor; tumor invasion; tumor recurrence; Adult; Aged; Cancer Survivors; Carcinoma, Squamous Cell; Cohort Studies; Disease-Free Survival; Female; Follow-Up Studies; Glossectomy; Head and Neck Neoplasms; Humans; Male; Mandibular Osteotomy; Middle Aged; Mouth Floor; Neoplasm Invasiveness; Neoplasm Recurrence, Local; Neoplasm Staging; Retrospective Studies; Risk Assessment; Statistics, Nonparametric; Survival Analysis; Taiwan; Time Factors; Tongue Neoplasms |
顯示於: | 臨床牙醫學研究所 |
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