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- 저자 : Akihiro Homma (검색결과 1 건)
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Takeshi Nishioka,Masaharu Fujino,Akihiro Homma,Tetsuro Yamashita,Akira Sato,Keiichi Ohmori,Kenichi Obinata,Hiroki Shirato,Kenichi Notani,Masamichi Nishio 연세대학교의과대학 2010 Yonsei medical journal Vol.51 No.4
Purpose: Deciding on treatment carcinoma of the tongue when the tumor has a thickness of 1.5 cm or more is difficult. Surgery often requires wide resection and re-construction, leading to considerable functional impairment. A cesium implant is an attractive option, but according to the Manchester System, a two plane implant is needed. Materials and Methods: According to the textbook, a tumor is sandwiched between the needles, which are implanted at the edge of the tumor. This may cause an unnecessarily high dose to the outer surface of the tongue,which sometimes leads to a persistent ulcer. To avoid this complication, we invented a modified implantation method, and applied the method to five consecutive patients. Results: With a minimum follow-up of 2 years, all primary tumors in 5consecutive patients have been controlled. No complications occurred in soft tissue of the tongue or in the mandible. Conclusion: Our modified Manchester System was feasible and effective for tumors that has a thickness of 1.5 cm or more.
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