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편평세포암종 환자에서 상악골 부분 절제술시 출혈 처치를 위한 외경동맥 결찰 KCI 등재

External Carotid Artery Ligation for Perioperative Bleeding Control on Maxillectomy of a Squamous Cell Carcinoma Patient

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  • URLhttps://db.koreascholar.com/Article/Detail/398714
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대한구강악안면병리학회지 (The Korean Journal of Oral and Maxillofacial Pathology)
대한구강악안면병리학회 (Korean Academy Of Oral And Maxillofacial Pathology)
초록

To accurately determine the resection margin for maxillary cancer, it is important to closely examine the extent of tumor infiltration into the maxilla, nasal cavity, maxillary sinus, palate, and surrounding tissues. Various methods have been described for the resection of maxillary tumors, such as alveolectomy, partial maxillectomy, subtotal maxillectomy, total maxillectomy, and extended maxillectomy. The objective of this study was to introduce external carotid artery (ECA) ligation on the ipsilateral side, a perioperative bleeding control method with fewer complications. Incidence of major bleeding during maxillectomy is a rare but potentially life-threatening complication. Cases of temporary bleeding from an internal maxillary artery or other sites can be stopped, packed, and compressed. However, bleeding control is eventually achieved by ligation of the ECA or selective embolization. Herein, we report the case of a 60-year-old male with squamous cell carcinoma of the right maxilla, which was eventually treated with subtotal maxillectomy along with an elective ECA ligation for intraoperative bleeding control. The procedure produced no preoperative or postoperative bleeding. ECA ligation is a simple, effective, safe, and (at the operator’s discretion) recommended method of perioperative bleeding control during maxillectomy.

목차
Abstract
Ⅰ. INTRODUCTION
Ⅱ. CASE REPORT
    1. Radiographic findings
    2. Intraoperative and postoperative findings
    3. Pathologic findings
Ⅲ. DISCUSSION
Ⅳ. CONCLUSION
REFERENCES
저자
  • 양재영(부산대학교 치의학전문대학원 구강악안면외과학 교실) | Jae-Young Yang (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
  • 장훈(부산대학교 치의학전문대학원 구강악안면외과학 교실) | Hun Jang (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
  • 유미현(부산대학교 치의학전문대학원 구강병리학교실) | Mi-Heon Ryu (Department of Oral pathology, BK21 Plus project, School of Dentistry, Pusan National University)
  • 황대석(부산대학교 치의학전문대학원 구강악안면외과학 교실) | Dae-Seok Hwang (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
  • 김욱규(부산대학교 치의학전문대학원 구강악안면외과학 교실) | Uk-Kyu Kim (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) Correspondence