Vercellino V, Pomatto E, Solazzo L, Meloni F, Stomeo F, Teatini G P
Cattedra di Clinica Odontoiatrica II, Università di Torino.
Acta Otorhinolaryngol Ital. 1990 Jul-Aug;10(4):383-9.
The Authors report a technique of a conservative transmandibular approach for the surgical treatment of tonsillar region malignancies. The procedure is based upon the preparation of a vascular mandibular flap through two osteotomies, which are performed, the first above the mandibular foramen and the second below the mental foramen. The main advantages of present technique are: lip-chin-splitting is avoided and, due to the preservation of mandibular vascular and nervous supply, it is possible to accomplish, without risk, postoperative radiotherapy. Moreover, if dictated by oncologic reasons, this conservative procedure may easily be transformed into a radical surgery (commando or neck-jaw operation).
作者报告了一种用于扁桃体区恶性肿瘤手术治疗的保守性经下颌入路技术。该手术基于通过两次截骨术制备带血管的下颌骨瓣，第一次截骨在下颌孔上方进行，第二次截骨在下颌颏孔下方进行。本技术的主要优点是：避免了唇颏劈开，并且由于保留了下颌骨的血管和神经供应，术后放疗可无风险地完成。此外，如果出于肿瘤学原因需要，这种保守手术可轻松转变为根治性手术（突击手术或颈颌手术）。
