Chawla Sharad, Carney Andrew Simon
Department of Otolaryngology, Head and Neck Surgery, Flinders Medical Centre, South Australia, Australia.
Head Neck Oncol. 2009 May 15;1:12. doi: 10.1186/1758-3284-1-12.
The principles of management of the laryngeal cancer have evolved over the recent past with emphasis on organ preservation. These developments have paralleled technological advancements as well as refinement in the surgical technique. The surgeons are able to maintain physiological functions of larynx namely speech, respiration and swallowing without compromising the loco-regional control of cancer in comparison to the more radical treatment modalities. A large number of organ preservation surgeries are available to the surgeon; however, careful assessment of the stage of the cancer and selection of the patient is paramount to a successful outcome. A comprehensive review of various organ preservation techniques in vogue for the management of laryngeal cancer is presented.
喉癌的管理原则在最近一段时间不断演变,重点是器官保留。这些发展与技术进步以及手术技术的完善并行。与更激进的治疗方式相比,外科医生能够在不影响癌症局部区域控制的情况下,维持喉部的生理功能,即言语、呼吸和吞咽功能。外科医生有大量的器官保留手术可供选择;然而,仔细评估癌症分期并选择合适的患者对于取得成功的治疗结果至关重要。本文对目前流行的用于喉癌管理的各种器官保留技术进行了全面综述。