Brusati R, Collini M, Bozzetti A
J Maxillofac Surg. 1986 Feb;14(1):57-63. doi: 10.1016/s0301-0503(86)80260-0.
When cancer of the tongue reaches a large size (T3, T4) it is almost impossible to treat it successfully with radiotherapy. The only therapeutic possibility in such cases is, therefore, total glossectomy. This may be effected without laryngectomy and with immediate reconstruction using musculo-cutaneous flaps. Such an operation allows total removal of the tumour and is followed by an acceptable though impaired functional result. Eight cases subjected to total glossectomy without laryngectomy are presented and aspects of ablative and reconstructive surgery are discussed. A report is made of postoperative complications and of functional rehabilitation: mastication is certainly impaired. However, swallowing is regained rapidly and phonation, although altered, is still comprehensible. An acceptable quality of life and good possibilities for a return to a working life result.
当舌癌发展到较大尺寸（T3、T4）时，几乎不可能通过放射治疗成功治愈。因此，在这种情况下唯一的治疗方法是全舌切除术。这可以在不进行喉切除术的情况下进行，并立即使用肌皮瓣进行重建。这样的手术能够完全切除肿瘤，术后功能结果虽有受损但仍可接受。本文介绍了8例未行喉切除术的全舌切除术病例，并讨论了切除和重建手术的相关方面。报告了术后并发症和功能康复情况：咀嚼功能肯定会受到损害。然而，吞咽功能恢复迅速，发音虽有改变但仍可理解。最终可获得可接受的生活质量，并有很好的重返工作岗位的可能性。
