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头颈部肿瘤的经口治疗策略。

Transoral treatment strategies for head and neck tumors.

作者信息

Arens Christoph

机构信息

Clinic for Ear, Nose and Throat Medicine, University Hospital Magdeburg, Germany.

出版信息

GMS Curr Top Otorhinolaryngol Head Neck Surg. 2012;11:Doc05. doi: 10.3205/cto000087. Epub 2012 Dec 20.

DOI:10.3205/cto000087
PMID:23320057
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3544208/
Abstract

The introduction of transoral endoscopic surgery has initiated a fundamental change in the treatment of head and neck cancer. The endoscopic approach minimizes the intraoperative trauma. Due to the lower burden for the patient and the savings potential these methods have gained wide acceptance. These transoral accesses routes allow experienced surgeons to reduce the morbidity of surgical resection with no deterioration of oncologic results. This suggests a further extension of the indication spectrum and a high growth potential for these techniques and equipment in the coming years. For selected patients with selected tumors the minimally invasive transoral surgery offers improved oncological and functional results. In the present paper, different surgical access routes are presented and their indications discussed.

摘要

经口内镜手术的引入开启了头颈癌治疗的根本性变革。内镜入路将术中创伤降至最低。由于对患者负担较小且具有潜在的成本节约优势，这些方法已获得广泛认可。这些经口入路使经验丰富的外科医生能够在不影响肿瘤学疗效的情况下降低手术切除的发病率。这表明在未来几年这些技术和设备的适应证范围将进一步扩大，且具有很高的增长潜力。对于特定肿瘤的特定患者，微创经口手术可提供更好的肿瘤学和功能疗效。本文介绍了不同的手术入路并讨论了其适应证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/930b2a54ff5b/CTO-11-05-g-009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/75d21d02dcd9/CTO-11-05-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/4e8eb068c051/CTO-11-05-t-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/4a0b786a4c7e/CTO-11-05-t-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/4fce9fbddf01/CTO-11-05-t-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/c8313ad48175/CTO-11-05-t-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/4e7ab1c0a36a/CTO-11-05-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/d355219482a5/CTO-11-05-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/5f98de82d97a/CTO-11-05-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/57a80fbe0684/CTO-11-05-g-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/b5be3bb75186/CTO-11-05-g-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/4bbff488cae6/CTO-11-05-g-006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/1b98ae9bd1f8/CTO-11-05-g-007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/2183fcab3274/CTO-11-05-g-008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/930b2a54ff5b/CTO-11-05-g-009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/75d21d02dcd9/CTO-11-05-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/4e8eb068c051/CTO-11-05-t-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/4a0b786a4c7e/CTO-11-05-t-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/4fce9fbddf01/CTO-11-05-t-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/c8313ad48175/CTO-11-05-t-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/4e7ab1c0a36a/CTO-11-05-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/d355219482a5/CTO-11-05-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/5f98de82d97a/CTO-11-05-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/57a80fbe0684/CTO-11-05-g-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/b5be3bb75186/CTO-11-05-g-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/4bbff488cae6/CTO-11-05-g-006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/1b98ae9bd1f8/CTO-11-05-g-007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/2183fcab3274/CTO-11-05-g-008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2201/3544208/930b2a54ff5b/CTO-11-05-g-009.jpg

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[Advances in endoscopic diagnosis of dysplasia and carcinoma of the larynx].[喉发育异常和癌的内镜诊断进展]
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手术在口咽癌管理中的当前作用
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[Results of transoral laser resection in T1-2 oropharyngeal, hypopharyngeal and laryngeal carcinomas].[T1-2期口咽癌、下咽癌及喉癌经口激光切除术的结果]
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