Gehanno P, Coste A, Depondt J, Guedon C, Viallard D
Service Chirurgie ORL et Chirurgie Cervico-Faciale, Groupe Hospitalier Bichat-Claude-Bernard, Paris.
Ann Otolaryngol Chir Cervicofac. 1990;107(2):101-6.
The authors present conservative transmandibular lateral pharyngectomy (CTLP) as a substitute for BPTM operations in cancers of the tonsillar region. The mandible is sectioned along the symphyses and the oropharynx is widely exposed through an incision of the pelvilingual sulcus. The authors propose a primary operability criterion that allows to salvage the mandibular angle, which is usually sacrificed. This can be assessed peroperatively by testing the possibility to cleave and spread inwardly the pharyngomandibular region following detachment of the pterygoid muscles. The functional and cosmetic benefits of this method are obvious and should commend its more frequent utilization.
作者提出经下颌骨外侧的保守性咽切除术（CTLP）作为扁桃体区癌手术中BPTM手术的替代方法。沿下颌联合切开下颌骨，通过腭舌沟切口广泛暴露口咽。作者提出了一个主要的可手术性标准，该标准允许保留通常会被牺牲的下颌角。这可以在手术中通过测试在翼状肌分离后向内侧劈开和扩展咽下颌区域的可能性来评估。该方法在功能和美观方面的益处是显而易见的，应该值得更频繁地使用。
