Korean J Head Neck Oncol Search

CLOSE


Korean Journal of Head & Neck Oncology 1999;15(1):40-45.
Published online May 30, 1999.
The Significance of Pterygopalatine Fossa and Infratemporal Fossa Dissection in the Surgical Treatment of Maxillary Squamous Cell Carcinoma
Jae Young Choi;Dong Young Kim;Joo Heon Yoon;Eun Chang Choi
상악동 편평세포암종의 수술적 치료에 있어서 측두아래오목과 날개구개오목 절제의 의의
최재영;김동영;윤주헌;최은창
Abstract
Objectives: Maxillary cancer is notorious for its poor prognosis because it is usually detected lately and the majority of patients have advanced disease. Especially when the cancer extended to infratemporal fossa or pterygopalatine fossa it is very difficult to remove all the involved structure by conventional maxillectomy. In these cases we have used radical maxillectomy through lateral approach. We tried to figure out the clinical significance of this procedure. Material and Methods: This study retrospectively analyzed 23 patients with squamous cell carcinoma of the maxillary sinus who underwent surgical treatment for cure. Among them 17 patients(group A) were treated with initial surgery and 6 patients(group B) underwent salvage surgery after radiotherpy. Radical maxillectomy was performed in 12 patients and conventional total maxillectomy in 11 patients.
Results
In group A, 3 out of 9 total maxillectomy case and none of 8 radical maxillectomy case were recurred. In group B one patient died of postoperative complication and among the other 5 patients only one out of 3 radical maxillectomy was salvaged and 2 total maxillectomy cases were died of intercurrent disease.
Conclusion
Wide surgical dissection of pterygopalatine fossa and infratemporal fossa may improve the survival rate in patients with posterior wall invasion of maxillary sinus.
Key Words: Maxillary sinus cancer, Maxillectomy, Squamous cell carcinoma, Pterygopalatine fossa, Infratemporal fossa
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 543 View
  • 2 Download
Related articles in Korean J Head Neck Oncol


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
EDITORIAL POLICY
AUTHOR INFORMATION
Editorial Office
327, Sosa-ro, Bucheon-si, Gyeonggi-do 14647, Korea
Tel: +82-10-9810-7671    Fax: +82-504-223-7671    E-mail: kshno@hanmail.net                

Copyright © 2024 by Korean Society for Head & Neck Oncology.

Developed in M2PI

Close layer
prev next