内镜辅助下对上颈部正中肿物进行舌系带切开术的方法：临床结果与安全性（来自一项II期临床试验）
Endoscope-assisted frenotomy approach to median upper neck masses: clinical outcomes and safety (from a phase II clinical trial).
作者信息
Woo Seung Hoon, Jeong Han-Sin, Kim Jin Pyeong, Park Jung Je, Baek Chung-Hwan
机构信息
Department of Otolaryngology, Gyeongsang National University, Jinju, South Korea; Institute of Health Sciences, Gyeongsang National University, Jinju, South Korea.
出版信息
Head Neck. 2014 Jul;36(7):985-91. doi: 10.1002/hed.23395. Epub 2013 Sep 17.
BACKGROUND
An endoscope-assisted frenotomy approach (EFA) to resection of the median upper neck mass has been introduced to clinical practice. However, its technical feasibility, indications, and safety have not been fully studied. Here, we report the results of a prospective phase II clinical trial to evaluate the clinical outcomes.
METHODS
Twenty patients were enrolled in this trial. The masses were divided into 3 subtypes. We implemented EFA to remove the masses after receiving informed patient consent. We evaluated the clinical outcomes and complications related to this procedure for more than a 2-year period.
RESULTS
EFA successfully removed the masses in all cases without any injuries to adjacent nerves or ducts. During the more than 2-year follow-up period, recurrence or revision surgeries were not required.
CONCLUSION
EFA can be a very effective and safe approach for median upper neck masses, and can also lead to excellent cosmetic and functional results.
背景
一种用于切除上颈部正中肿物的内镜辅助下系带切开术（EFA）已应用于临床实践。然而，其技术可行性、适应证和安全性尚未得到充分研究。在此，我们报告一项前瞻性II期临床试验的结果，以评估临床疗效。
方法
本试验纳入20例患者。肿物分为3个亚型。在获得患者知情同意后，我们采用EFA切除肿物。我们对该手术相关的临床疗效和并发症进行了超过2年的评估。
结果
EFA在所有病例中均成功切除肿物，未对相邻神经或导管造成任何损伤。在超过2年的随访期内，无需进行复发或翻修手术。
结论
EFA对于上颈部正中肿物可能是一种非常有效且安全的方法，并且还可带来极佳的美容和功能效果。
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