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Segmental/hemi mandibulectomy without flap reconstruction for T4a lower gingival cancer
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- Honda Keigo
- Japanese Red Cross Wakayama Medical Center
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- Asato Ryo
- Department of Head and Neck Surgery, National Hospital Organization, Kyoto Medical Center
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- Miyazaki Masakazu
- Department of Head and Neck Surgery, National Hospital Organization, Kyoto Medical Center
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- Kada Shinpei
- Department of Otolaryngology, National Hospital Organization, Kyoto Medical Center
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- Tsujimura Takashi
- Department of Head and Neck Surgery, National Hospital Organization, Kyoto Medical Center
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- Kataoka Yukiko
- Department of Otolaryngology, National Hospital Organization, Kyoto Medical Center
Bibliographic Information
- Other Title
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- 下顎歯肉癌T4a症例に対する非再建区域(半)切除術
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Description
We report the functional and oncologic results of segmental/hemi mandibulectomy without flap reconstruction for T4a lower gingival cancer in patients who were thought not to be fit for reconstructive surgery due to poor systemic conditions.<br>Subjects/methods: A retrospective chart review was performed on 7 patients who had been treated for T4a lower gingival cancer by segmental/hemi mandibulectomy without reconstruction between 2009 and 2014.<br>Results: Neck dissection was performed for 4 patients, and tracheostomy for all 7 patients. The median operation time was 157 minutes and the median blood loss was 220g. Observed wound complications included oro-cutaneous fistula in one patient and cervical infection in another patient. No systemic complications were observed. All patients regained oral intake.<br>Conclusion: Segmental/hemi mandibulectomy without reconstruction is a curative and less invasive treatment, which can be a reasonable treatment option for patients with poor conditions.
Journal
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- JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY
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JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY 27 (1), 25-30, 2017
JAPAN SOCIETY FOR HEAD AND NECK SURGERY
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Details 詳細情報について
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- CRID
- 1390282680260883072
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- NII Article ID
- 130005998629
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- ISSN
- 1884474X
- 1349581X
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed