Principles and Practice of Oral Cancer Surgery

Nam,  Woong

J Korean Dent Assoc > Volume 48(8); 2010 > Article

The Journal of The Korean Dental Association 2010;48(8):587-593.
Published online August 31, 2010.

구강암 수술의 원칙과 실제(접근법과 절제술)

남웅

연세대학교 치과대학 구강악안면외과학교실

Principles and Practice of Oral Cancer Surgery

Woong Nam

Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University

Abstract

The management of malignant tumors of the oral cavity requires that the resection should be performed with adequate negative margins. To this end, the surgeon is sometimes required to increase the access to the oral cavity to resect with clear margins although most of our resections can be carried via the transoral route. This article highlights some of the most common surgical accesses to the oral cavity: Peroral approach, mandibulotomy and mandibular swing approach, visor flap approach, upper & lower cheek flap approach, pull-through technique. Also, various modes of management are grossly described according to primary site, size, and stage of the tumors.

Key Words: Oral cancer;Surgery;Approach;