양성 후두 종양에서 경구강 레이저 수술과 경구강 비디오 수술의 비교 연구

송지아; 김창회; 차준상; 김성원; 이강대; 이형신

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자료유형: 학술저널

저자정보: 송지아 김창회 차준상 김성원 이강대 이형신

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제63권 제2호

발행연도: 2020.1

수록면: 71 - 75 (5page)

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연구결과

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Background and Objectives Surgical resection is the basic treatment for benign laryngeal tumors and transoral laser microsurgery (TLM) has been used effectively. Transoral videolaryngoscopic surgery (TOVS) is another method of surgical resection that has been introduced. However, there have not been any studies related to the usefulness of TOVS in benign laryngeal tumors. The purpose of this study was to compare the efficacy and surgical outcomes of TLM and TOVS. Subjects and Method A retrospective chart review of 85 patients were conducted. This review included two groups (TLM group, n=44 versus TOVS group, n=41) of patients who underwent transoral surgery for benign laryngeal tumors. Clinicopathologic factors of the patients and surgical outcomes such as the operation time, amount of intraoperative bleeding, hospital stay, and complications were compared between two groups. Results There were no significant differences between two groups regarding the clinicopathologic factors and surgical outcomes. The TOVS group presented relatively larger tumor size (p=0.067) and showed a tendency of shorter operation time (36.8±34.5 min) compared to that of TLM (45.6±27.9 min), but with no statistical significance (p=0.199). Conclusion TOVS may be considered as an alternative surgical method for benign laryngeal tumors.

참고문헌 (15)

참고문헌 신청

김한수 / 2013 / 양성 후두 질환 / 대한이비인후-두경부외과학회지 56(6):332~338

Vilaseca-González I / 2003 / Complications in transoral CO2 laser surgery for carcinoma of the larynx and hypopharynx / Head Neck 25(5):382~388

Strong MS / 1972 / Laser surgery in the larynx. Early clinical experience with continuous CO 2 laser / Ann Otol Rhinol Laryngol 81(6):791~798

Martin A / 2008 / Organ preserving transoral laser microsurgery for cancer of the hypopharynx / Laryngoscope 118(3):398~402

Steiner W / 2003 / Transoral laser microsurgery for squamous cell carcinoma of the base of the tongue / Arch Otolaryngol Head Neck Surg 129(1):36~43

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