Moore D M, Calcaterra T C
Department of Surgery, UCLA Center for the Health Sciences.
Ann Otol Rhinol Laryngol. 1990 Apr;99(4 Pt 1):300-3. doi: 10.1177/000348949009900410.
Tongue base resection plays an important role in the management of the patient with cancer of the posterior tongue. The considerable morbidity resulting from loss of functional tongue includes compromised deglutition, chronic aspiration, and altered speech articulation. The particular operative approach used dictates additional secondary morbidity, which may include cosmetic and functional defects of the mandibular arch, malocclusion, lip and chin scars, and postoperative changes in the oral cavity. Our recent experience with a transpharyngeal approach in 13 patients with tongue base cancer is reviewed. Adequate operative exposure was obtained in all cases. Persistent aspiration was not a problem, and all patients learned to swallow effectively. The transpharyngeal approach avoids unnecessary surgical trauma to the mandible and anterior oral cavity and minimizes cosmetic deformity. Our early experience with this approach is encouraging.
舌根切除术在舌后部癌症患者的治疗中起着重要作用。因功能性舌丧失而导致的相当大的发病率包括吞咽功能受损、慢性误吸和言语清晰度改变。所采用的特定手术方法会导致额外的继发性发病率，这可能包括下颌弓的美容和功能缺陷、错牙合、唇和下巴疤痕以及口腔术后变化。本文回顾了我们最近对13例舌根癌患者采用经咽入路的经验。所有病例均获得了充分的手术暴露。持续性误吸不是问题，所有患者都学会了有效吞咽。经咽入路避免了对下颌骨和口腔前部的不必要手术创伤，并将美容畸形降至最低。我们对这种方法的早期经验令人鼓舞。
