Rink B
Klinik für Kiefer- und Gesichtschirurgie, Medizinischen Fakultät (Charité), Humboldt-Universität zu Berlin.
HNO. 1991 Jun;39(6):224-6.
The role of the lingual periosteum in the spread of tumours is not yet clear. We examined the histological behaviour of 60 cancers of the tongue and floor of the mouth lying close to the mandible. There were no tumour cells in the periosteal lymphatics. This is in accord with clinical experience that tumour invasion of the periosteum is not associated with an increased rate of metastases to the cervical lymph nodes. From our experience, we conclude that (1) a radical resection of the mandible is mandatory for every lesion lying in the gingivo-lingual gutter that invades bone; (2) for tumours close to, but not directly invading the lingual surface of the mandible, marginal resection of the alveolar ridge is appropriate and provides an adequate margin.
舌骨膜在肿瘤扩散中的作用尚不清楚。我们检查了60例靠近下颌骨的舌癌和口底癌的组织学行为。骨膜淋巴管内没有肿瘤细胞。这与临床经验相符，即肿瘤侵犯骨膜与颈部淋巴结转移率增加无关。根据我们的经验，我们得出结论：（1）对于侵犯骨的每一个位于牙龈舌沟的病变，必须进行下颌骨根治性切除；（2）对于靠近但未直接侵犯下颌骨舌面的肿瘤，牙槽嵴边缘切除是合适的，并且能提供足够的切缘。
