• Title/Summary/Keyword: Neck surgery

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Endoscopic Laser Surgery in Laryngeal Carcinoma (후두 악성종양에 대한 내시경적 레이저 수술의 적용)

  • Kim Kwang-Hyun;Sung Myung-Whun;Lee Hyo-Jeong;Lee Dong-Wook;Park Bum-Jung;Seong Weon-Jin;Min Yang-Gi;Lee Chul-Hee;Rhee Chae-Seo;Lee Sang-Jun;Roh Jong-Lyel
    • Korean Journal of Head & Neck Oncology
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    • v.18 no.1
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    • pp.36-40
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    • 2002
  • Background and Objectives: To determine if laser endoscopic microsurgery is a reliable and appropriate approach in the treatment of laryngeal carcinomas. Materials and Methods: Retrospective study of 62 patients treated with CO2 laser from June 1988 to November 2000 at Seoul National University Hospital for laryngeal squamous cell carcinoma. All patients were treated with curative intention. Fifty three untreated patients with laryngeal carcinoma (39 glottic and 14 supraglottic carcinoma patients) had primary carbon dioxide laser microsurgery. Nine radiation failure patients were treated. Postoperative radiotheray was done for 17 patients. Neck dissection was performed simultaneously for 4 supraglottic cases with cervical nodal metastasis. Mean follow-up duration was 40 months. Results: In primary laser surgery group, distribution of tumors (American Joint Committee on Cancer, 1997) were 38 cases with Tl, 13 cases with T2, 2 cases with T3. Cure rate was 88.7%(47/53) and local control rate was 92.5%(49/53). Larynx was preserved in 94%(50/53) of patients. The overall 5-year survival rate(Kaplan-Meier) was 81.5%. In radiation failure group, 56% of patients were recurred after laser surgery. Conclusion: Laser surgery could be a better treatment modality for early laryngeal cancers and selected advanced cases. Additional radiation therapy should be considered if resection margin is not satisfactory.

A Case of Multiple Neurilemmomas in the Neck (경부에 발생한 다발성 신경초종 1예)

  • Chung Keun;Oh Won-Hee;Yang Sun-Mo;Cho Jin-Hak;Chu Hyung-Ro
    • Korean Journal of Head & Neck Oncology
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    • v.16 no.2
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    • pp.224-227
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    • 2000
  • Neurilemmomas are benign nerve sheath tumors arising from peripheral Schwann cells. The tumor composed of Schwann cells and collagen fibers, can occur in any region of the body where there is a nerve that has a Schwann sheath. The incidence of the tumor in the head and neck is about 30% with many of these occurring on the vagus nerve. Neurilemmoma is characterized by solitary occurrence, with sharp demarcation and encapsulation. Multiple genesis is very rare. This article presents a rare case of multiple neurilemmomas located bilaterally in the cervical region.

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Congenital Atresia of the Left Internal Jugular Vein with Absence of the Left Transverse Sinus and Sigmoid Sinus (좌측 가로정맥동과 에스자정맥동의 부재를 동반한 좌측 속경정맥의 선천성 폐쇄)

  • Cho, Young-Ju;Lee, Kyung-Suk;Hwang, Byung-Eon;Yang, Yun-Su;Hong, Ki-Hwan
    • Korean Journal of Head & Neck Oncology
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    • v.27 no.2
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    • pp.226-229
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    • 2011
  • Knowledge of variations of veins of head and neck in relation to internal jugular, external jugular, anterior jugular and facial veins is important to surgeons doing head and neck surgery as well as to radiologists doing catheterization and to clinicians in general. In the current case, congenital atresia of the left internal jugular vein is reported. During neck dissection, superficial veins of neck and left external jugular vein was engorged and the left internal jugular vein was look like a fibrotic band. The left common carotid artery and vagus nerve was normal.

A Case of Recurrent Central Neck Lymph Nodes after Radiation Therapy for Early Glottic Cancer (방사선 치료 후 중심경부림프절에서 재발한 조기 성문암 1예)

  • Park, Euyhyun;Ju, Youngho;Hwang, Jaewoong;Park, Sangheon;Baek, Seung-Kuk
    • Korean Journal of Head & Neck Oncology
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    • v.29 no.2
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    • pp.58-61
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    • 2013
  • Early glottic cancer can be effectively treated with surgery or radiotherapy showing the comparable treatment results. Since radiation therapy may be better in terms of voice preservation, it tends to be preferred in early glottic cancer. Most common recurrence site is glottis after radiation therapy and complete remission of glottic primary site followed by local recurrence limited to neck is very rare. The authors are reporting a patient with regional recurrence of central neck lymph nodes after radiation therapy for T1a glottic cancer.

Chondrosarcoma of Nasal Septum (비중격에 발생한 연골육종)

  • Rho Young-Soo;Park Il-Seok;Kim Jin;Kim Jin-Hwan;Lim Hyun-Joon
    • Korean Journal of Head & Neck Oncology
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    • v.19 no.1
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    • pp.80-83
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    • 2003
  • Chondrosarcomas are uncommon tumors. Approximately 5-10% are located in the head and neck. Nasal septal chondrosarcoma is exceedingly rare, with an extensive review of the world literature revealing only 50 reported cases. Most occur in middle-aged man. Surgical resection is the definitive treatment of choice. Radiation and chemotherapy are reserved for residual or recurrent diseases and palliation. We present a case of nasal septal chondrosarcoma treated with craniofacial resection and postoperative radiation therapy.

A Case of Atypical Lipomatous Tumor of the Neck (경부에서 발견된 비정형 지방종성 종양 1예)

  • Loh, Young Jin;Lee, Dong Kun;Park, Heon Soo
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.286-289
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    • 2018
  • Liposarcoma is a malignant tumor that occurs in adipocytes, accounting for 5% of all sarcomas. Generally, it has no symptoms and it occurs in any parts of the body. There are various types of liposarcoma. Of these, 40-45% are known as highly differentiated liposarcoma, and highly differentiated liposarcoma is also referred to as atypical lipomatous tumor. We report a case of an atypical lipomatous tumor on the left neck.

A Case of Ewing's Sarcoma Arising from Larynx (후두에서 발생한 유잉육종에 대한 증례보고)

  • Dongkook Kim;Jun-Yong Lee;Young Kang;Seung Heon Kang
    • Korean Journal of Head & Neck Oncology
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    • v.39 no.2
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    • pp.71-74
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    • 2023
  • Ewing sarcoma is a rare tumor in head and neck area. We demonstrate a rare case of sinonasal Ewing sarcoma initially suspected as olfactory neuroblastoma. After the surgery and immunohistochemical studies, it was accurately diagnosed as Ewing sarcoma. We would like to emphasize the possibility that Ewing sarcoma may originate from the head and neck area, and hence, it is important to use appropriate techniques for accurate diagnosis and treatment.