Head and Neck Service, Memorial Sloan-Kettering Cancer Center, New York, New York 10065, USA.
J Surg Oncol. 2010 Jun 15;101(8):661-8. doi: 10.1002/jso.21454.
The head and neck region poses a challenging arena for oncologic surgery. Diseases and their treatment can affect a myriad of functions, including sight, hearing, taste, smell, breathing, speaking, swallowing, facial expression, and appearance. This review discusses several areas where refinements in surgical techniques have led to improved patient outcomes. This includes surgical incisions, neck lymphadenectomy, transoral laser microsurgery, minimally invasive thyroid surgery, and the use of vascularized free flaps for oromandibular reconstruction.
头颈部是肿瘤外科极具挑战性的领域。疾病及其治疗方法会影响众多功能,包括视力、听力、味觉、嗅觉、呼吸、说话、吞咽、面部表情和外观。本文讨论了一些领域,其中手术技术的改进带来了患者预后的改善。这包括手术切口、颈部淋巴结清扫术、经口激光微创手术、微创甲状腺手术以及血管化游离皮瓣用于口腔颌面部重建。