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头颈部软组织手术

Soft tissue surgery of the head and neck.

作者信息

Dorn A S

出版信息

Tijdschr Diergeneeskd. 1987 Apr;112 Suppl 1:67S-72S.

PMID:3576602
Abstract

A variety of surgical techniques and procedures have been described for diseases of soft tissues of the oral cavity. Mandibulectomy and maxillectomy have been described for the management of oral neoplasia. These procedures involve removal of parts of the mandible and maxilla in the affected regions of the mouth. Salivary mucocele or sialocele is defined as an abnormal accumulation of saliva in the tissues of the head and neck. Depending on the location of the salivary collection, swelling can occur in the ventral neck, under the tongue, or in the oropharynx just posterior to the tonsil. In the dog this condition is managed most successfully by excision of the mandibular and sublingual salivary glands on the affected side. The ventral approach is preferred because of ease of drainage postoperatively. Diseases of the soft palate which lend themselves to surgical correction include elongation of the soft palate and hypoplasia of the soft palate. Corrective surgery for both of these conditions is desirable and the surgical results are excellent. Tonsillectomy and removal of the tonsillar crypts is recommended along with excision of the elongated soft palate to enlarge the size of the airway.

摘要

针对口腔软组织疾病,已有多种外科技术和手术方法被描述。下颌骨切除术和上颌骨切除术已被用于治疗口腔肿瘤。这些手术涉及在口腔受影响区域切除部分下颌骨和上颌骨。唾液黏液囊肿或唾液囊肿被定义为头颈部组织中唾液的异常积聚。根据唾液积聚的位置,肿胀可发生在颈部腹侧、舌下或扁桃体后方的口咽处。在犬类中,通过切除患侧的下颌下腺和舌下腺,这种情况的治疗最为成功。由于术后引流方便,腹侧入路是首选。适合手术矫正的软腭疾病包括软腭延长和软腭发育不全。针对这两种情况进行矫正手术是可取的,手术效果也很好。建议在切除延长的软腭以扩大气道尺寸的同时,进行扁桃体切除术并切除扁桃体隐窝。

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