Balon L R
Vopr Onkol. 1984;30(3):60-7.
The author discusses his long-term experience which suggests that the term of reconstruction surgery following removal of maxillofacial and laryngeal malignancies should be determined in each particular case. Moreover, primary and early reconstruction should be carried out only after removal of localized stage I and II neoplasms and small-size recurrences. Primary reconstruction may be indicated to close cervical neurovascular fascicle, brain tissues, etc., to avoid fatal outcome. Otherwise, reconstruction surgery should be performed at later terms-- 8--12 months or more after removal of tumor, because by this time the latent period of recurrences and metastases, if they occur, is over and general biological and reparative processes come back to normal after radiation and chemotherapy.
作者讨论了他的长期经验，这些经验表明，颌面和喉恶性肿瘤切除术后重建手术的时机应根据每个具体病例来确定。此外，仅在切除局限性I期和II期肿瘤及小尺寸复发病灶后，才可进行一期和早期重建。一期重建可用于封闭颈部神经血管束、脑组织等，以避免致命后果。否则，重建手术应在更晚的时候进行——肿瘤切除后8至12个月或更长时间，因为到那时，如果复发和转移发生，其潜伏期已经结束，放疗和化疗后全身的生物学和修复过程已恢复正常。
