Clinical and Experimental Otorhinolaryngology (May 2019)

Guidelines for the Surgical Management of Oral Cancer: Korean Society of Thyroid-Head and Neck Surgery

  • ,
  • Young-Hoon Joo,
  • Jae-Keun Cho,
  • Bon Seok Koo,
  • Minsu Kwon,
  • Seong Keun Kwon,
  • Soon Young Kwon,
  • Min-Su Kim,
  • Jeong Kyu Kim,
  • Heejin Kim,
  • Innchul Nam,
  • Jong-Lyel Roh,
  • Young Min Park,
  • Il-Seok Park,
  • Jung Je Park,
  • Sung-Chan Shin,
  • Soon-Hyun Ahn,
  • Seongjun Won,
  • Chang Hwan Ryu,
  • Tae Mi Yoon,
  • Giljoon Lee,
  • Doh Young Lee,
  • Myung-Chul Lee,
  • Joon Kyoo Lee,
  • Jin Choon Lee,
  • Jae-Yol Lim,
  • Jae Won Chang,
  • Jeon Yeob Jang,
  • Man Ki Chung,
  • Yuh-Seok Jung,
  • Jae-Gu Cho,
  • Yoon Seok Choi,
  • Jeong-Seok Choi,
  • Guk Haeng Lee,
  • Phil-Sang Chung

DOI
https://doi.org/10.21053/ceo.2018.01816
Journal volume & issue
Vol. 12, no. 2
pp. 107 – 144

Abstract

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Korean Society of Thyroid-Head and Neck Surgery appointed a Task Force to provide guidance on the implementation of a surgical treatment of oral cancer. MEDLINE databases were searched for articles on subjects related to “surgical management of oral cancer” published in English. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. The quality of evidence was rated with use RoBANS (Risk of Bias Assessment Tool for Nonrandomized Studies) and AMSTAR (A Measurement Tool to Assess the Methodological Quality of Systematic Reviews). Evidence-based recommendations for practice were ranked according to the American College of Physicians grading system. Additional directives are provided as expert opinions and Delphi questionnaire when insufficient evidence existed. The Committee developed 68 evidence-based recommendations in 34 categories intended to assist clinicians and patients and counselors, and health policy-makers. Proper surgical treatment selection for oral cancer, which is directed by patient- and subsite-specific factors, remains the greatest predictor of successful treatment outcomes. These guidelines are intended for use in conjunction with the individual patient’s treatment goals.

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