Alperin K M, Levine H L, Wood B G, Tucker H M
Head Neck Surg. 1984 Jan-Feb;6(3):744-50. doi: 10.1002/hed.2890060308.
Most benign and malignant lesions of the posterior third of the tongue may be approached through a median labiomandibular glossotomy. This is accomplished by splitting the lower lip, mandible, floor of the mouth, and tongue in the midline to expose such areas as the posterior tongue, pharynx, and nasopharynx. This technique is useful for lesions of the posterior third of the tongue for several reasons: 1) it provides excellent exposure, 2) it is cosmetically superior to most other approaches, 3) it allows for several alternatives to reconstruction, such as retrusion or rotation tongue flaps, 4) the procedure sustains minimum blood loss since the tongue is bisected in the midline in an avascular plane, (5) when preoperative radiation therapy has been included, this approach minimizes the amount of surgery performed through the radiated field, and 6) postoperative tongue mobility is usually sufficient to permit articulation and deglutition to approach normal. The Cleveland Clinic Foundation's experience with this approach is reviewed, the technique is described, and a variety of cases are presented to illustrate its applicability.
舌后三分之一的大多数良性和恶性病变可通过正中唇下颌舌切开术进行处理。这是通过在中线劈开下唇、下颌骨、口腔底部和舌头来暴露舌后部、咽部和鼻咽部等区域来实现的。该技术对舌后三分之一的病变有用，原因如下：1）它提供了极佳的暴露；2）在美观上优于大多数其他方法；3）它允许有多种重建选择，如后推或旋转舌瓣；4）该手术出血量最少，因为舌头在无血管平面的中线被一分为二；5）当包括术前放射治疗时，这种方法可将通过放疗区域进行的手术量减至最少；6）术后舌头的活动度通常足以使发音和吞咽接近正常。本文回顾了克利夫兰诊所基金会使用这种方法的经验，描述了该技术，并展示了各种病例以说明其适用性。
