Korean J Otorhinolaryngol-Head Neck Surg.  2010 Mar;53(3):159-165. 10.3342/kjorl-hns.2010.53.3.159.

Surgical Approach for Oral Cavity Cancer

• Ji YB
• Park K
• Kim JM
• Tae K
• Chun HC
• Lee MZ
• Kim SW
• Kim CD

• KMID: 1455701
• DOI: http://doi.org/10.3342/kjorl-hns.2010.53.3.159

Abstract

BACKGROUND AND OBJECTIVES
In the treatment of oral cancer, appropriate surgical approaches should be chosen in order to eradicate cancer while preserving the function of oral cavity and facial contour. This study was performed to evaluate the usefulness and effectiveness of various surgical approaches in the surgical treatment of oral cancer.
SUBJECTS AND METHOD
A total of 112 oral cancer patients, excepting those with lip cancer, and who underwent surgery from 1994 to Aug 2008, were enrolled. We reviewed medical records retrospectively and analyzed the primary sites, stage, surgical approaches, management of mandible and neck, reconstruction methods, recurrence and survival rates.
RESULTS
Of the 112 patients, 64 were transoral, 23 pull-through, 6 mandibular lingual releasing, 6 upper cheek flap , 5 lower cheek flap , 6 mandibulotomy and 2 visor flap approach. Most of T1, T2 lesions could be resected by transoral (71.6%) or pull-through approach (21.0%). In the advanced T3, T4 lesions, transoral (21.9%), pull-through (37.5%), cheek flap (21.9%), mandibulotomy (15.6%) were used. There was no statistically significant difference with respect to locoregional recurrence and survival rate according to surgical approach.
CONCLUSION
The transoral approach was the effective method for the surgery of T1, T2 and part of T3 oral cancer. The pull-through or mandibular lingual releasing approach was the effective method of surgery for T2, T3 tongue or floor of mouth (FOM) cancer while avoiding mandibulotomy.

Keyword

Surgical procedure; Mouth neoplasm; Recurrence; Survival

MeSH Terms

Cheek
Humans
Lip Neoplasms
Mandible
Medical Records
Mouth
Mouth Floor
Mouth Neoplasms
Neck
Recurrence
Retrospective Studies
Survival Rate
Tongue