实用口腔医学杂志2024,Vol.40Issue(1) :15-19.DOI:10.3969/j.issn.1001-3733.2024.01.002

颈部无痕的舌癌颈淋巴清扫与游离皮瓣修复技术

Neck dissection and free flap repair technique for tongue cancer without neck scar

杨帆 曹昶 孟莎莎 夏辉 王晓毅 张壮 李春洁 门乙 朱桂全
实用口腔医学杂志2024,Vol.40Issue(1) :15-19.DOI:10.3969/j.issn.1001-3733.2024.01.002

颈部无痕的舌癌颈淋巴清扫与游离皮瓣修复技术

Neck dissection and free flap repair technique for tongue cancer without neck scar

杨帆 1曹昶 1孟莎莎 2夏辉 1王晓毅 1张壮 1李春洁 1门乙 1朱桂全1
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作者信息

  • 1. 610041 成都,口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医院头颈肿瘤外科
  • 2. 平顶山市第一人民医院口腔科
  • 折叠

摘要

颈淋巴清扫和修复重建是口腔癌治疗的两大重要内容.颈淋巴清扫和修复重建手术方法多种多样,但都是在开放手术下完成.该文报道一种经耳后发际入路完全腔镜下的颈淋巴清扫术;同期口内肿瘤根治性切除和经口原位血管吻合的旋髂浅动脉穿支皮瓣修复.颈淋巴清扫切口位于发际内,隐匿不可见,术后颈部无暴露性手术疤痕.现就这一术式作以介绍,并对其优缺点进行讨论.

Abstract

Neck dissection and reconstruction are two important aspects of oral cancer treatment.There are various surgical methods for neck dissection and reconstruction,but all of them are performed by open surgery.This article reports a full endoscopic neck dis-section through the retroauricular hairline approach,the radical resection of the intraoral tumor and the repair of the defect by superfi-cial circumflex iliac artery perforator flap with in situ vascular anastomosis intraorally.The incision is located in the hairline,hidden and invisible,and there is no exposed surgical scar on the neck after surgery.This paper introduces the technique of scarless neck dissection combined with free skin flap repair for the treatment of oral cancer and discusses its advantages and disadvantages.

关键词

口腔癌/腔镜/旋髂浅动脉穿支皮瓣/无痕/经口血管吻合

Key words

Oral cancer/Laparoscopic/Superficial circumflex iliac artery perforator flap/Scarless/Intraoral vascular anastomosis

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基金项目

四川省科技计划重点研发计划(2021YFS0217)

四川省自然科学基金(2022NSFSC0681)

出版年

2024
实用口腔医学杂志
第四军医大学口腔医学院

实用口腔医学杂志

CSTPCDCSCD北大核心
影响因子:0.942
ISSN:1001-3733
参考文献量26
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