Larson D L, Sanger J R
Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee 53226, USA.
Semin Surg Oncol. 1995 May-Jun;11(3):190-9. doi: 10.1002/ssu.2980110304.
Modern head and neck surgery has focused on patient rehabilitation and restoration of form and function in the treatment of oral cancers. An important aspect of that process has been the conservation of the mandible in tumor ablation and the reconstruction of the mandible if segmental resection is indicated. This article outlines the science and clinical data behind rim mandibulectomy and the mandibular osteotomy and "swing" to gain access to tumors of the posterior tongues and pharynx. Additionally, the various methods of reconstruction of the mandible in use today as well as the advantages and disadvantages of each are addressed.
现代头颈外科在口腔癌治疗中注重患者康复以及外形和功能的恢复。该过程的一个重要方面是在肿瘤切除时保留下颌骨，以及在需要节段性切除时进行下颌骨重建。本文概述了边缘性下颌骨切除术和下颌骨截骨术及“摆动”术以显露后舌和咽部肿瘤背后的科学依据和临床数据。此外，还讨论了当今使用的各种下颌骨重建方法及其各自的优缺点。
