经口手术治疗舌根部病变

Transoral surgical management of lesions of the base of the tongue.

作者信息

Jones J E, Healy G B

机构信息

Department of Otolaryngology and Communication Disorders, New York Hospital-Cornell University Medical Center, New York.

出版信息

Arch Otolaryngol Head Neck Surg. 1992 Dec;118(12):1350-2. doi: 10.1001/archotol.1992.01880120076014.

DOI:10.1001/archotol.1992.01880120076014

PMID:1449697

Abstract

Lesions of the base of the tongue are rare in the pediatric population. However, when present these lesions may lead to airway obstruction and feeding difficulties. Two patients with lesions of the base of the tongue are described to demonstrate the diagnosis and management of this difficult clinical problem. The use of a transoral median glossotomy for total excision of these lesions is advised in this article. This approach affords excellent surgical exposure, early return to a normal diet, and lack of facial scars.

摘要

舌根部病变在儿科人群中较为罕见。然而，一旦出现，这些病变可能导致气道阻塞和喂养困难。本文描述了两名舌根部病变患者，以展示这一棘手临床问题的诊断和处理方法。本文建议采用经口正中舌切开术对这些病变进行完整切除。这种方法能提供极佳的手术视野，患者可早日恢复正常饮食，且不会留下面部疤痕。