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| 扁桃体癌手术及修复方法的选择 | |
| 引用本文： | 吴昊,栾信庸,卢军,潘新良,解光,张立强,周维镕.扁桃体癌手术及修复方法的选择[J].中国耳鼻咽喉头颈外科,2007,14(4):179-181. |
| 作者姓名： | 吴昊 栾信庸 卢军 潘新良 解光 张立强 周维镕 |
| 作者单位： | 1. 南通大学附属医院耳鼻咽喉科,江苏,南通,226001 2. 山东大学齐鲁医院耳鼻咽喉头颈外科,山东,济南,250012 3. 南通大学附属医院口腔颌面外科,江苏,南通,226001 |
| 摘 要： | 目的 探讨扁桃体癌手术切除入路与组织缺损的几种修复方法及疗效.方法 采用颈前舌骨入路及下颔骨正中裂开外旋入路切除19例扁桃体癌,分别应用舌瓣、颞肌筋膜瓣及胸大肌肌皮瓣修复缺损.结果 1例胸大肌肌皮瓣术后出现皮肤部分坏死,3例颞肌筋膜瓣修复者术后张口轻度受限,其余患者术后呼吸、吞咽、咀嚼和语音功能恢复良好.结论 在选择合适的手术入路彻底切除肿瘤的前题下,熟练地掌握多种修复方法,择优采用,是恢复良好口咽功能,提高患者术后生活质量的重要保证. |
| 关 键 词： | 扁桃体肿瘤 癌 鳞状细胞 修复外科手术 |
| 收稿时间： | 2006-10-11 |
| 修稿时间： | 2006-10-11 |
Reconstruction of oropharyngeal defects after resection of tonsillar cancer |
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| WU Hao,LUAN Xinyong,LU Jun,PAN Xinliang,XIE Guang,ZHANG Liqiang,ZHOU Weirong.Reconstruction of oropharyngeal defects after resection of tonsillar cancer[J].Chinese Archives of Otolaryngology-Head and Neck Surgery,2007,14(4):179-181. | |
| Authors: | WU Hao LUAN Xinyong LU Jun PAN Xinliang XIE Guang ZHANG Liqiang ZHOU Weirong |
| Institution: | 1 Department of Otolaryngology, Affiliated Hospital of Nantong University, Nantong, Jiangsu, 226001, China; 2 Department of Otolaryngology Head and Neck Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, 250012, China; 3 Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Nantong University, Nantong, Jiangsu, 226001, China |
| Abstract: | OBJECTIVE To study the methods and curative effects of reconstruction of oropharyngeal defects after resection of tonsillar cancer. METHODS Nineteen patients with tonsillar cancer underwent operation. The choice of surgical procedure was decided on the size of the lesions. The tumor was resected through the hyoid approach and mandibular swing approach. Surgical defects were repaired immediately with tongue flap, temporalis myofascial flap, pectoralis major myocutaneous flap. RESULTS The functions of respiration, chewing, deglutition, and speech were restored satisfied in all patients. Partial necrosis of the pectoralis major myocutaneous flap occurred in one patient, and mild difficulty of open mouth in 3 patients after repaired with temporalis myofascial flap. CONCLUSION Choosing what is optimum from multiple feasible surgical methods is prerequisite for better oropharyngeal function and quality of life in patients with tonsillar cancer. |
| Keywords: | Tonsillar Neopalsms Carcinoma Squamous Cell Reconstructive Surgical Procedures |
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