En bloc resection of the primary tumour and cervical lymph nodes through the parapharyngeal space in patients with squamous cell carcinoma of the maxilla: a preliminary study.
We retrospectively studied 72 patients with maxillary carcinoma (48 of the gingiva, 22 of the antrum, and one each of the hard palate and maxillary bone). The 5-year survival was 73% for those with gingival carcinoma, and 45% for those with antral carcinoma. Nine patients died of local recurrence, three of cervical metastases, six of distant metastases, and five died of metastases in lateral retropharyngeal nodes despite successful control of local and regional disease. We have recently done en bloc resections of the maxilla and cervical lymph nodes through the parapharyngeal space for patients with posteriorly invasive maxillary cancer accompanied by lymph node metastases in the upper jugular region.
Umeda
Masahiro
M
Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-Cho, Chuo-Ku, Kobe 650-0017, Japan. ume@med.kobe-u.ac.jp
Minamikawa
Tsutomu
T
Komatsubara
Hideki
H
Ojima
Yasutaka
Y
Shibuya
Yasuyuki
Y
Yokoo
Satoshi
S
Komori
Takahide
T
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D002648:Child; D017809:Fatal Outcome; D005260:Female; D005887:Gingival Neoplasms / Q000601:surgery; D006801:Humans; D008297:Male; D008441:Maxillary Neoplasms / Q000601:surgery*; D008444:Maxillary Sinus Neoplasms / Q000601:surgery*; D008875:Middle Aged; D037981:Neck Dissection / Q000379:methods*; D019647:Oral Surgical Procedures / Q000379:methods*; D010614:Pharynx / Q000601:surgery; D012189:Retrospective Studies