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논문KCI 등재

이하선 천엽에 국한된 이하선암종 치료로서의 이하선 천엽절제술과 전 이하선절제술과의 비교

Superficial versus Total Parotidectomy in the Treatment of Parotid Carcinoma Confined to the Superficial Lobe of Parotid Gland

박정수|최현승|김상철|임영창|서용석|최은창|김현직
대한이비인후과학회 (Korean Society of Otorhinolaryngology-Head and Neck Surgery)|2004.02|대한이비인후과학회지 두경부외과학 (Korean Journal of Otorhinolaryngology-Head and Neck Surgery)|제47권 제2호|pp. 161-167

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참고문헌

키워드

이하선암·이하선 적출술·생존율·안면 신경마비.Parotid cancer· Parotidectomy· Survival· Facial nerve paralysis.
주제분류이비인후과학

초록

Abstract

Background and Objectives：Although there is little consensus regarding the extent of surgical ablation needed to attain cure in parotid cancers, most surgeons has been used to perform total parotidectomy. However, the chance of development for postoperative facial palsy may be incresed in case of total parotidectomy. The aim of this study was to determine whether superficial parotidectomy (SP) yielded local control and resulted in overall survival rates that are comparable to those of total parotidectomy (TP). Materials and Method：2000 and diagnosed with the parotid cancers confined to the superficial lobe and had parotidectomy were reviewed. There were 42 males and 40 females, ranging in age from 8 to 84 years. There were 47 patients in group 1 (SP) and 35 in group 2 (TP). 52 patients underwent neck dissection simultaneously with primary lesion. Surgical treatment was followed by radiotherapy in 48 patients. The follow-up period ranged from 2 to 132 months with the mean of 37.7months. Data were analyzed using the Kaplan-Meier method and Log-Rank test and Fishers exact test. Results：group were not significantly asociated with the folowing variables：histologic grade, tumor size, surgical margin, facial nerve involvement and postoperative radiotherapy. The overall crude 2- and 5- survival rates for the SP group were 87% and 79%, respectively, and those for the TP group were 80.5% and 64.9% (p>0.05), respectively. Also, there was no statistically significant difference in the locoregional recurence between the SP group and TP group (p>0.05). However, there was statistically significant (p<0.05). Conclusion：Therefore, in terms of oncologic integrity, superficial parotidectomy may be a safe procedure without potential morbidity, such as postoperative facial palsy in the treatment of parotid cancer confined to the superficial lobe.

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