在用喉悬浮体进行亚总光切除术后,吞结果良好
T Morita1, T Sasaki1, Y Koizumi1
1Department of Head and Neck, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
International journal of oral and maxillofacial surgery
|July 29, 2023
概括
部分或全部光切除术显著影响吞. 喉悬浮和鼻肌切除改善了细液体摄入量,减少了食管的依赖性,提高了舌头癌症患者的生活质量.
科学领域:
- 在瘤学瘤学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音和语言病理学 语言病理学
背景情况:
- 先进的舌头癌症往往需要光切除术,导致严重的吞困难.
- 重建方法和手术辅助对于优化光切除术后的结果至关重要.
研究的目的:
- 为了分析术后吞结果,在接受舌头癌症的部分或全部光切除术的患者中.
- 确定最佳的重建方法和手术技术,以改善吞功能.
主要方法:
- 从2005年至2019年期间接受治疗的101名舌癌患者的临床和吞数据的回顾性审查.
- 分析重建方法,包括自由直腹肌肌皮,以及辅助手术,如喉悬浮和关节肌切除术.
主要成果:
- 手术后的输卵管依赖率在出院时为11.1%,一年后为9.4%.
- 接受喉悬浮和/或关节肌肉切除治疗的患者,特别是2017年之后的患者,显著改善了细液体摄入量和体重减轻.
- 没有喉悬浮/肌切除的老年患者 (≥65岁) 具有较高的输卵管依赖性.
结论:
- 喉悬浮和/或关节肌切除术显著改善了光切除术后的吞功能.
- 这些辅助手术可以增强细液体摄入量,减少长期的输卵管依赖,并改善舌头癌症患者的生活质量.
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