Publications by authors named "Han Sin Jeong"

Introduction: This study aimed to report the efficacy and safety of adjuvant sequential chemotherapy after definitive treatment of salivary duct carcinoma (SDC) compared with the standard treatment alone (surgery with postoperative radiation therapy).

Methods: This was a retrospective study of pathologically confirmed 135 SDC patients (study period 2009 to 2022). After curative surgery and adjuvant radiation therapy, 55 of 135 patients decided to receive additional chemotherapy (OP+RT+Chemo group), while 80 opted for surgery and radiation (OP+RT group).

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Objective: Due to the application of multiple treatment modalities, a substantial proportion of patients with head and neck cancer (HNC) experience one or more emergency room (ER) visits or unplanned hospitalizations during or after treatment. We investigated HNC cases that visited ERs after cancer treatment to identify potential risk factors in the context of the Korean healthcare system.

Methods: This was a single-center cohort study of HNC patients who underwent cancer treatments at OOOO in 2019 (N = 566).

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  • The study investigates the oncologic impact of revised negative resection margins (RM) in patients with early-stage oral tongue squamous cell carcinoma (OSCC) who did not receive additional therapy after initial surgery.
  • It compares two groups: those with an initial negative RM and those with a revised negative RM, finding that local recurrence was higher and local recurrence-free survival was lower in the revised RM group.
  • The results suggest that revised clear RM after an initial positive RM increases the risk of local recurrence, indicating the need for caution in treatment decisions for these patients.
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  • The study investigates the surgical outcomes of epiglottopexy using external double needle puncture in infants under 12 months with severe laryngomalacia (LM) and serious comorbidities.
  • Out of 32 patients, 68.7% had successful outcomes, while the remaining faced complications requiring tracheostomies or ventilation support.
  • The research concludes that this surgical method is generally effective, but factors like low gestational age may increase the risk of failure; careful pre- and post-surgery monitoring of related conditions is essential for better results.
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  • Dysphonia, which is a voice disorder, impacts social interaction and overall quality of life, and the study sought to explore how dietary and habitual factors relate to this condition using data from the Korean National Health and Nutritional Examination Survey.
  • The research involved a large group of adults who underwent exams for dysphonia and provided information about their diets and habits, identifying risk factors for both dysphonia and laryngeal mucosal diseases.
  • Findings revealed that age, body weight, and female sex were key factors associated with dysphonia, while smoking and niacin intake were significant for laryngeal mucosal diseases; diet-related factors like specific nutrient intakes did not show strong correlations.
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  • Postoperative laryngeal edema (PLE) is a frequent complication after neck dissection surgery, affecting nearly 30% of patients with symptoms like pain and difficulty swallowing.
  • A study analyzed 343 patients to identify risk factors, revealing that higher body mass index and specific tumor locations significantly increased the likelihood of developing PLE.
  • Early recognition and treatment can enhance recovery and patient outcomes for those at risk of PLE following surgery.
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This study aimed to present the treatment patterns and outcomes for adenoid cystic carcinoma (ACC) arising in the nasal cavity and paranasal sinus. Sixty-one sinonasal ACC patients were retrospectively reviewed: 31 (50.8%) underwent surgery followed by postoperative radiation therapy (S+PORT), and 30 (49.

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  • The study investigates how extra-capsular spread (ECS) of lymph node metastasis (LNM) relates to tumor characteristics in head and neck cancer (HNC), highlighting its association with aggressive cancer types.
  • It involves a retrospective analysis of various types of oral and throat cancers, examining tumor dimensions and LNM variables using statistical modeling.
  • The findings indicate that LNM variables significantly influence ECS in most cancer subsites, with tumor dimensions playing a crucial role in oral tongue cancer while showing varied effects in oropharyngeal and hypopharyngeal cancers.
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In parotid gland cancer (PGC), cervical lymph node metastasis (LNM) and intra-parotid LNM are known as significant indicators of poor prognosis. However, the topography of LNM in the affected parotid gland and the lymphatic progression of PGC has never been explored in detail. This was a retrospective analysis of data from 423 patients with previously untreated primary PGC (2005 to 2020), excluding patients with squamous cell carcinoma, lymphoma or metastatic disease in the parotid gland.

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Background: maxillary bone invasion (MBI) is not uncommon in hard palate or upper alveolus (HP/UA) cancer; however, there have been relatively few reports about the MBI of HP/UA cancer.

Patients And Methods: this was a multi-center retrospective study, enrolling 144 cases of HP/UA cancer. MBI was defined by surgical pathology or radiology follow-up.

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  • This study looked at patients with a type of mouth cancer called OSCC and how the edges of their tumor removals (called resection margins) affected their chances of surviving.
  • They found four types of margins: negative (no cancer cells), close (nearby), positive (some cancer cells left), and dysplastic (precancerous changes).
  • It turned out that having severe dysplastic margins meant a higher chance of cancer coming back, but dysplastic margins overall didn't affect survival rates that much.
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Objective: The intra-parotid facial nerve (FN) can be visualized using three-dimensional double-echo steady-state water-excitation sequence magnetic resonance imaging (3D-DESS-WE-MRI). However, the clinical impact of FN imaging using 3D-DESS-WE-MRI before parotidectomy has not yet been explored. We compared the clinical outcomes of parotidectomy in patients with and without preoperative 3D-DESS-WE-MRI.

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Purpose: This study aimed to compare oncologic outcomes between definitive radiation therapy (RT) and upfront surgical resection in patients with sinonasal squamous cell carcinoma (SCC).

Methods And Materials: Between 2008 and 2021, 155 patients with T1-4b, N0-3 sinonasal SCC were analyzed. The 3-year overall survival (OS), local progression-free survival (LPFS), and overall progression-free survival (PFS) were evaluated using the Kaplan Meier method and compared using a log-rank test.

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Purpose: This study aimed to investigate the oncologic outcomes and prognostic factors of salvage treatments in patients with recurrent oropharyngeal squamous cell carcinoma (OPSCC) after radiotherapy (RT)-based treatment.

Materials And Methods: A cancer registry was used to retrieve the records of 337 patients treated with definitive RT or concurrent chemoradiotherapy (CRT) from 2008 to 2018 at a single institution. The poor-responder group (PRG) was defined as patients with residual or recurrent disease after primary treatment, and the oncologic outcomes for each salvage treatment method were analyzed.

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  • Early detection of pharyngocutaneous fistula (PCF) after total laryngectomy (TL) can prevent severe complications; this study aimed to create prediction models for identifying PCF in the early postoperative phase.
  • Researchers analyzed data from 263 patients who underwent TL from 2004 to 2021, focusing on clinical indicators like fever and blood test results on specific postoperative days.
  • The study found that PCF occurred in 32.7% of patients, with significant differences in fever and blood test results between those with and without fistulas, leading to improved predictive models (AUC of 0.83) that could help detect PCF early and reduce risks of severe complications.
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  • This study compared outcomes of two types of bone flaps—fibular (FFF) and scapular (SFF)—used for reconstructing head and neck defects in patients.
  • A total of 156 cases were analyzed, revealing that FFF was mainly for oromandibular defects and had a longer hospital stay, while SFF was associated with no donor-site complications.
  • The findings highlight the importance of understanding differences in flap types and complications for better preoperative planning and patient recovery.
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Introduction: Salivary gland cancer (SGC) is a rare malignant tumor arising from the salivary glands, with a variety of clinical and biological behaviors different from head and neck cancer (HNC). Because of the rarity of SGC, there are limited data on pre-treatment quality of life (QoL). Therefore, we evaluated the pre-treatment QoL in SGC patients by stage and compared it with that of HNC patients.

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The optimal cut-off point of the resection margin was recently debated in oral cancer. To evaluate the current evidence of the dynamic criteria of the resection margin, a review of the available literature was performed. Studies were sourced from PubMed and EMBASE by searching for the keywords "mouth neoplasm", "oral cancer", "oral cavity cancer", "oral squamous cell carcinoma", "tongue cancer", "margins of excision", "surgical margin" and "resection margin".

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The diagnosis of oral squamous cell carcinoma is sometimes delayed. Recently, the concept of differentiated dysplasia in the oral mucosa was proposed, and we attempted to elucidate the histologic features of differentiated dysplasia in the oral mucosa. Two pathologists reviewed 38 small biopsy cases of patients diagnosed with benign to low-grade dysplasia in the first biopsy, but were diagnosed with invasive carcinoma after excisional biopsy within 2 years.

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  • * The results showed that the time interval for malignant transformation was significantly longer in CXRPA cases compared to benign recurrence, with MT rates being 5.9% in primary cases and 20.0% in recurrent cases.
  • * Ultimately, the study found no evidence supporting the idea that recurrence promotes malignant transformation; instead, it suggested that longer incubation periods may play a more crucial role in the MT of recurrent PA.
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Objective: In this article we review the literature on the malignant sublingual gland tumors from a surgical perspective.

Background: Sublingual gland tumors occur with a very low incidence and most are malignant tumors. The extent of treatment, clinical outcomes and prognosis of malignant sublingual gland tumors have not been well defined, due to the rarity of this disease.

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Purpose: Salivary gland cancers (SGCs) are relatively rare but comprise various histologic subtypes, which complicates design of prospective trials. Systemic chemotherapy plays a limited role in treatment of SGCs, but cisplatin and docetaxel showed efficacy in a previous preclinical study. Here, we conduct a prospective, phase II study to evaluate the efficacy and toxicities of cisplatin plus weekly docetaxel in patients with metastatic or recurrent SGC.

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Objectives: The aim of this study was to compare the long-term oncologic outcomes of sentinel lymph node biopsy (SLNB) versus elective neck dissection (END) in clinically node-negative (cN0) tongue cancer.

Methods: This was a retrospective cohort study of patients with cN0 tongue cancer from a single institution, including 91 patients in the SLNB group and 120 patients in the END group.

Results: The overall recurrence rate showed no significant difference between the two groups.

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Purpose: Larynx-preserving surgery (LPS) have recently gained popularity and achieved comparable oncologic outcomes to conventional radical surgery for localized hypopharyngeal cancer (HPC). In the current study, the role of LPS has been assessed thoroughly in comparison with upfront radiation therapy (RT).

Materials And Methods: We retrospectively reviewed 185 candidates for LPS with cT1-2 disease; 59 patients underwent upfront LPS while 126 patients received upfront RT, respectively.

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Background: Early detection and diagnosis of parotid gland cancer (PGC) are essential to improve clinical outcomes, because Tumor-Node-Metastasis stage at diagnosis is a very strong indicator of prognosis in PGC. Nevertheless, some patients still present with large parotid mass, maybe due to the unawareness or ignorance of their disease. In this study, we aimed to present the clinical outcomes of bulky PGC (defined by a 4 cm cutoff point for T3-4 versus T1-2 tumors), to emphasize the necessity of a self-examination tool for parotid gland tumor.

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