[The synthesis treatment of tonsillar cancer].

OBJECTIVE

To study the synthesis treatment of tonsillar cancer.

METHOD

From 1987 to 1999, thirty four patients with tonsillar cancer were treated with surgery and postoperative radiotherapy. There were 21 males and 13 females and the ages ranged from 33-74. According to TNM staging system, there are 5 stage I , 6 stage 11, 9 stage II and 14 stage IV. According to conditions, the transoral approach, mandibular wing approach and transhyoid approach were choiced to resect the tumor. Surgical defect was repaired by myocutaneous flap, tongue flap, or softpalate flap.

RESULT

The 5 year survival rate were 68.8% and local control 76.4%. Function of chewing, deglutition and speech were restored well.

CONCLUSION

The treatment of surgery and postoperative radiotherapy can improved the survival rate, local control rate and quality of life of patients.