在口腔腔癌中进行边缘口腔切除术 - - 分类和适应症
Sudhir Nair1, Hitesh R Singhavi2, Vidula Mestry1
1Head and Neck Surgery, Department of Surgical Oncology, ACTREC, Homi Bhabha National Institute, Tata Memorial Centre, Navi Mumbai, India.
Indian journal of surgical oncology
|May 8, 2025
概括
边缘下切除术 (MM) 是一种安全有效的手术选择,用于不侵入下骨的口腔癌. 这种方法提供了与传统的细分下切除术 (SM) 相似的瘤结果,功能缺陷较少.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 口腔和牙面部外科手术
背景情况:
- 口腔状细胞癌 (OSCC) 是一个重大的全球健康挑战,每年发病率很高.
- 目前的手术管理通常涉及到广泛的骨切除 (细分下切除术),以实现清晰的边缘.
- 边缘下切除术 (MM) 提供了一个不那么令人虚弱的替代方案,仅切除下边缘,保持连续性.
研究的目的:
- 审查边缘下切除术 (MM) 在治疗口腔癌方面的瘤安全性和疗效.
- 根据最近的文献,评估MM与细分下切除术 (SM) 的当前作用.
- 为报告MM程序提出标准化分类.
主要方法:
- 关于边缘下切除术治疗口腔癌的最新研究的综合文献综述.
- 对MM与SM相关的瘤结果,功能缺陷和化品结果的分析.
- 基于切除平面和下内解剖位置的分类系统的开发.
主要成果:
- 边缘下巴切除术 (MM) 证明了在没有骨侵袭的情况下对选择的口腔瘤的瘤安全性和疗效.
- 毫米为细分下切除术 (SM) 提供了与细分下切除术 (SM) 相似的瘤结果.
- 与SM相比,MM导致功能和化品缺陷明显减少.
结论:
- 边缘下切除术 (MM) 是针对特定口腔状细胞癌 (OSCC) 病例的一种可行且不太致残的手术选择.
- 拟议的分类系统可以在不同中心标准化MM程序的报告.
- 精确的手术规划对于优化边缘下切除术 (MM) 的结果至关重要.
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