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Korean Journal of Head & Neck Oncology 2004;20(2):167-171.
Published online November 30, 2004.
Surgery of Retromolar Trigone Cancer
Sei Young Lee;Young Choon Choi;Eui Sok Jung;Soon Ho Kwon;Dae Hyun Lew;Won Jae Lee;Eun Chang Choi
후구치삼각암의 수술적 치료
이세영;최영춘;정의석;권순호;유대현;이원재;최은창
Abstract
Background and Objectives: Squamous cell carcinoma of retromolar tringone (RMT) is an uncommon head and neck tumor. RMT cancer has unique clinical feature and specific considerations for surgical treatment are needed but, reports on the treatment of RMT cancer are still lacking. Patients and Methods: From May 1997 to July 2004, 8 patients with histologically proven squamous cell carcinoma of the RMT were treated in Severance Hospital. Surgical excision of the primary lesion and neck dissection were performed in all patients. Reconstruction was accomplishing using several methods. Charts and other medical records were reviewed.
Results
In early cases, lower cheek flap was appropriate but, mandibular swing or madibulectomy approach was appropriate in advanced cases. Reconstruction was needed in all patients and excision of mandible was needed in majority of patients. 6 patients were disease free status and one died from recurrence and one was lost to follow up.
Conclusion
In treatment of RMT cancer, several surgical approach methods and reconstruction should be considered before treatment. Surgical treatment of RMT cancer may be one of a useful primary treatment modality.
Key Words: Retromolar trigone, Squamous cell carcinoma, Surgical treatment
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