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KMID : 0361020210640110779
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Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 11 p.779 ~ p.784
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Controversy in the Surgical Extent of Parotidectomy, Neck Treatment, and Adjuvant Treatment of Parotid Gland Cancer
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Park Young-Min
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Abstract
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This paper analyzed previous research data to identify the most important issues to be consideredduring treatment of parotid gland cancer (PGC) and reviewed recent advancements intechniques in parotid surgery. For successful treatment of PGC, a preoperative surgical planshould be designed with consideration of the histologic characteristics and anatomical complexityof the tumor, and the functional and anatomical integrity of the facial nerve should becarefully inspected during surgery and damage to the nerve minimized. The need for adjuvantradiotherapy should be determined based on intraoperative findings and pathologic findings ofthe specimen after surgery. To optimize treatment outcomes for PGC, the extent of surgeryand adjuvant radiotherapy should be decided according to histologic characteristics and riskstratification.
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KEYWORD
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Operative surgical procedure, Parotid neoplasms, Treatment
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