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利用颈部被遗忘的三角区进行舌癌切除术中舌动脉结扎:技术报告

Harnessing the Forgotten Triangles of the Neck for Lingual Artery Ligation in Glossectomies: A Technical Report.

作者信息

Ghosh Sandeep, Joseph Bonny, Chakraborty Priyanko, Singh Soumya, Das Epshita

机构信息

Surgical Oncology, Chirayu Medical College and Hospital, Bhopal, IND.

Surgical Oncology, Malabar Cancer Center, Thalassery, IND.

出版信息

Cureus. 2023 Aug 21;15(8):e43836. doi: 10.7759/cureus.43836. eCollection 2023 Aug.

DOI:10.7759/cureus.43836
PMID:37736471
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10511212/
Abstract

Various geometric structures, such as numerous triangles, are prevalent in the neck. Despite the fact that many of the neck's anatomical triangles have been well documented, others have been almost forgotten about. The repertoire of head and neck cancer surgeons should include an in-depth understanding of these forgotten triangles. This article seeks to contribute valuable information to the existing scientific literature by shedding light on these neglected triangles, which have significant surgical relevance. In this technical report, we provide a detailed description of a technique that employs these neglected triangles to ligate the lingual artery during glossectomies for tongue cancer.

摘要

颈部存在各种几何结构,比如众多三角形。尽管颈部的许多解剖学三角已得到充分记载,但其他一些三角几乎已被遗忘。头颈癌外科医生的技能储备应包括对这些被遗忘三角的深入理解。本文旨在通过揭示这些具有重要手术意义却被忽视的三角,为现有科学文献贡献有价值的信息。在本技术报告中,我们详细描述了一种在舌癌舌切除术期间利用这些被忽视三角结扎舌动脉的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/759e/10511212/68586a1ab8be/cureus-0015-00000043836-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/759e/10511212/05475da88c8e/cureus-0015-00000043836-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/759e/10511212/1d622cdf02a4/cureus-0015-00000043836-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/759e/10511212/9976006595d3/cureus-0015-00000043836-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/759e/10511212/5870f1cf2e1f/cureus-0015-00000043836-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/759e/10511212/68586a1ab8be/cureus-0015-00000043836-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/759e/10511212/05475da88c8e/cureus-0015-00000043836-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/759e/10511212/1d622cdf02a4/cureus-0015-00000043836-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/759e/10511212/9976006595d3/cureus-0015-00000043836-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/759e/10511212/5870f1cf2e1f/cureus-0015-00000043836-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/759e/10511212/68586a1ab8be/cureus-0015-00000043836-i05.jpg

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1
Harnessing the Forgotten Triangles of the Neck for Lingual Artery Ligation in Glossectomies: A Technical Report.利用颈部被遗忘的三角区进行舌癌切除术中舌动脉结扎:技术报告
Cureus. 2023 Aug 21;15(8):e43836. doi: 10.7759/cureus.43836. eCollection 2023 Aug.
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本文引用的文献

1
Effect of transcervical arterial ligation on the severity of postoperative hemorrhage after transoral robotic surgery.经宫颈动脉结扎对经口机器人手术后术后出血严重程度的影响。
Head Neck. 2017 Aug;39(8):1510-1515. doi: 10.1002/hed.24677. Epub 2017 Jun 1.
2
Forgotten triangles of neck.颈部的遗忘三角区
Ann Maxillofac Surg. 2016 Jan-Jun;6(1):91-3. doi: 10.4103/2231-0746.186149.
3
Gross anatomical classification of the courses of the human lingual artery.人类舌动脉走行的大体解剖学分类。
Surg Radiol Anat. 2017 Feb;39(2):195-203. doi: 10.1007/s00276-016-1696-8. Epub 2016 May 17.
4
Analysis of post-transoral robotic-assisted surgery hemorrhage: Frequency, outcomes, and prevention.经口机器人辅助手术后出血的分析:发生率、结局及预防
Head Neck. 2016 Apr;38 Suppl 1:E776-82. doi: 10.1002/hed.24101. Epub 2015 Jul 15.
5
Revisit of an old surgical technique--justification of elective lingual artery ligation in the management of squamous cell carcinoma of oral tongue.一种古老外科技术的再探讨——选择性舌动脉结扎术在口腔舌鳞状细胞癌治疗中的合理性
Oral Oncol. 2011 May;47(5):439. doi: 10.1016/j.oraloncology.2011.02.019. Epub 2011 Mar 21.
6
Three nearly forgotten anatomical triangles of the neck: triangles of Beclard, Lesser and Pirogoff and their potential applications in surgical dissection of the neck.颈部三个几乎被遗忘的解剖三角:贝克拉德三角、小三角和皮罗戈夫三角及其在颈部手术解剖中的潜在应用。
Surg Radiol Anat. 2011 Jan;33(1):53-7. doi: 10.1007/s00276-010-0697-2. Epub 2010 Jul 10.
7
Pirogoff's Triangle revisited: an alternative site for microvascular anastomosis to the lingual artery. A technical note.再探皮罗戈夫三角:舌动脉微血管吻合的替代部位。技术说明。
Int J Oral Maxillofac Surg. 2000 Jun;29(3):207-9. doi: 10.1034/j.1399-0020.2000.290310.x.
8
Extraoral ligation of the lingual artery: an anatomic study.舌动脉的口外结扎术:一项解剖学研究。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997 Mar;83(3):321-4. doi: 10.1016/s1079-2104(97)90236-5.