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중앙 두개기저부를 광범위하게 침범한 비인강 혈관섬유종의 수술적 접근법
윤주헌(Joo Heon Yoon),이원상(Won Sang Lee) 대한두경부종양학회 1994 대한두경부 종양학회지 Vol.10 No.2
To provide the wide and satisfactory surgical field is essential requirement for en-bloc resection of nasopharyngeal angiofibroma invading central skull base. The new design of the surgical approach to the skull base lesions was developed and described the details of this technique and its usefullness. We compared the usefullness of naso-maxillary approach to that of infratemporal fossa approach in cases of angiofibroma invading skull base. Our experience indicates that the naso-maxillary swing approach is better than lateral approach for the large nasopharyngeal angiofibroma. A new approach. naso-maxillary swing approach. is described.
상악동 후벽을 침습한 상악암의 절제를 위한 측두하와의 전방 접근법
최은창(Eun Chang Choi),윤주헌(Joo Heon Yoon),김영호(Young Ho Kim),홍원표(Won Pyo Hong) 대한두경부종양학회 1994 대한두경부 종양학회지 Vol.10 No.2
Maxillary cancer is usually detected late, and the majority of patients have advanced(T₃ or T₄) diseases at the first diagnosis. It invades outside the maxillary antrum, superiorly the orbit, ethmoid sinus and the anterior cranial base, anteriorly the facial skin. If the cancer extends through the posterior antral wall, the pterygoid plates, pterygoid muscles and infratemporal fossa are to be involved that make the conventional maxillectomy impossible to remove all the involved structures in infratemporal fossa completely. So, more extensive surgical apprdoach is necessary. We report surgical experience using infratemporal fossa approach(lateral facial approach) in four cases of maxillary cancer and one case of hard palate cancer which extends through the posterior antral wall and involving pterygoid muscles, pterygoid plates and temporalis muscle.
상악동 편평세포암종의 수술적 치료에 있어서 측두아래오목과 날개구개오목 절제의 의의
최재영(Jae Young Choi),김동영(Dong Young Kim),윤주헌(Joo Heon Yoon),최은창(Eun Chang Choi) 대한두경부종양학회 1999 대한두경부 종양학회지 Vol.15 No.1
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.
한지혁(Ji Hyuk Han),이영우(Young Woo Lee),김정민(Jung Min Kim),정효진(Hyo Jin Chung),한수진(Su-Jin Han),윤주헌(Joo Heon Yoon),문인석(In Seok Moon) 대한두개저학회 2016 대한두개저학회지 Vol.11 No.2
Introduction : Surgical removal of extracranial trigeminal schwannoma has been challenging due to anatomic complexity and rarity of the disease. Transzygomatic approach can be a good option for extracranial trigeminal schwannoma, especially in cases extended to infratemporal fossa, pterygopalatine fossa and parapharyngeal space. Authors report several cases of extracranial trigeminal nerve schwannomas which were treated using modified or combined transzygomatic approaches. Materials and Methods : 3 patients were diagnosed as extracranial trigeminal schwannoma and underwent surgical removal via modified or combined transzygomatic approach from January 2013 to June 2016. Results : We analyzed the tumor control, complication rate, and origin of tumor. Among 3 patients, combined transzygomatic approach was applied to one patient. It was combined with transcervical approach for the patient. The huge extracranial trigeminal schwannomas were completely excised in all 3 cases. There were no significant complications. Conclusion : The modified transzygomatic approach is safe and useful for removal of huge extracranial trigeminal schwannoma without facial scar and is easily combined with transcervical approach.