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本文详细介绍了治疗舌根癌的一种新手术方法:采用咽侧切开和下颌骨切开暴露舌根部病变的手术途径,并利用同侧剩余的舌前部组织作成带神经血管蒂的舌瓣后退置入舌根部的手术缺损中一次修复。先从舌根部解剖出舌下神经和舌动脉并结扎切断舌动脉舌背技及舌下神经小分支。分离保护此血管神经束。然后经咽侧切开和下颌骨切开以暴露舌根部病变,切除肿瘤。再将患侧剩余舌前部自中线作矢状切开下达舌骨,以舌骨舌肌至舌骨的筋膜附丽为轴,将瓣后退置入缺隙中。瓣的后绿缝于会厌上,内侧缝于舌根,外侧缝于咽扁桃粘膜,健侧舌前分直接缝合封闭。下颌骨切开处用骨间钢丝栓结,分层缝闭各层组织。
This article describes in detail a new surgical approach for the treatment of tongue root cancer: the surgical approach to expose the root of the tongue using pharyngeal incision and mandibular incision, and the use of the anterior tongue tissue remaining on the ipsilateral flap to create a flap with a neurovascular pedicle Back into the tongue base of the surgical defect in a repair. The first sublingual and lingual arteries were dissected from the base of the tongue and ligated to cut off the lingual artery and the sublingual branchlets. Isolate and protect this vascular bundle. Then the pharyngeal incision and mandibular incision to expose the tongue base lesions, resection of the tumor. Then the affected ipsilateral left front of the tongue from the midline for sagittal dissection issued hyoid to the hyoid tongue to the hyoid fascia attached to the shaft, the flap back into the gap. After the petal green stitched on epiglottis, medial sewn tongue base, lateral suture amygdalus amygdalus, contralateral side of the contralateral direct suture closed. Mandibular incision with interosseous wire bolt junction, stratified stitched layers of tissue.