舌扁桃体切除术的手术平面：一项解剖学研究。
The surgical plane for lingual tonsillectomy: an anatomic study.
作者信息
Son Eugene L, Underbrink Michael P, Qiu Suimin, Resto Vicente A
机构信息
Department of Otolaryngology - Head and Neck Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX, 77555, USA.
Department of Pathology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX, 77555, USA.
出版信息
J Otolaryngol Head Neck Surg. 2016 Apr 5;45:22. doi: 10.1186/s40463-016-0137-3.
BACKGROUND
The presence of a plane between the lingual tonsils and the underlying soft tissue has not been confirmed. The objective of this study is to ascertain the presence and the characteristics about this plane for surgical use.
METHODS
Five cadaver heads were obtained for dissection of the lingual tonsils. Six permanent sections of previous tongue base biopsies were reviewed. Robot assisted lingual tonsillectomy was performed using the dissection technique from the cadaver dissection.
RESULTS
In each of the 5 cadavers, an avascular plane was revealed deep to the lingual tonsils. Microscopic review of the tongue base biopsies revealed a clear demarcation between the lingual tonsils and the underlying minor salivary glands and muscle tissue. This area was relatively avascular. Using the technique described above, a lingual tonsillectomy using TORS was performed with similar findings from the cadaver dissections.
CONCLUSIONS
A surgical plane for lingual tonsillectomy exists and may prove to have a role with lingual tonsillectomy with TORS.
背景
舌扁桃体与下方软组织之间平面的存在尚未得到证实。本研究的目的是确定该平面的存在及其用于手术的特征。
方法
获取5个尸体头部用于舌扁桃体解剖。回顾了6份先前舌根活检的永久切片。采用尸体解剖的解剖技术进行机器人辅助舌扁桃体切除术。
结果
在5具尸体中，每具尸体的舌扁桃体深部均显示出一个无血管平面。对舌根活检的显微镜检查显示舌扁桃体与下方的小唾液腺和肌肉组织之间有清晰的分界。该区域相对无血管。使用上述技术，采用经口机器人手术（TORS）进行舌扁桃体切除术，结果与尸体解剖相似。
结论
存在用于舌扁桃体切除术的手术平面，可能在经口机器人手术（TORS）进行舌扁桃体切除术中发挥作用。
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