Texas Children's Hospital - Pediatric Otolaryngology, Baylor College of Medicine - Otolaryngology, Head and Neck Surgery, 6701 Fannin Street, Suite 640, Houston, TX 77030, USA.
Texas Children's Hospital - Pediatric Otolaryngology, Baylor College of Medicine - Otolaryngology, Head and Neck Surgery, 6701 Fannin Street, Suite 640, Houston, TX 77030, USA.
Otolaryngol Clin North Am. 2022 Dec;55(6):1205-1214. doi: 10.1016/j.otc.2022.07.018. Epub 2022 Oct 9.
Pediatric head and neck tumors are uncommon but the consequences of radical resection are extensive. These tumors, benign and malignant, are uniquely challenging because of their proximity to critical functional and neurovascular structures and intimately affect speech, swallowing, voice, breathing, hearing, and vision. In addition, the psychosocial and emotional trauma from the cosmetic and functional consequences can be enduring. Their relative rarity limits surgeon experience and requires a focused effort to develop individual and programmatic expertise. A practiced multidisciplinary team can facilitate smooth preoperative evaluations, efficient coordinated operative procedures, comprehensive rehabilitation, and recovery, as well as optimal oncologic outcomes.
小儿头颈部肿瘤并不常见，但根治性切除术的后果广泛。这些肿瘤，良性和恶性的，由于其靠近关键的功能和神经血管结构，并且对言语、吞咽、声音、呼吸、听力和视力有密切影响，因此具有独特的挑战性。此外，由于美容和功能后果造成的心理社会和情感创伤可能是持久的。它们的相对罕见性限制了外科医生的经验，需要集中精力发展个人和计划专长。一个经验丰富的多学科团队可以促进术前评估的顺利进行、高效协调的手术程序、全面的康复以及恢复，以及最佳的肿瘤学结果。
