https://scholars.lib.ntu.edu.tw/handle/123456789/628709
標題: | An alternative surgical technique for advanced tongue/tongue base cancer without free flap reconstruction | 作者: | Huang, Chun Chi TSUNG-LIN YANG Wen-Hsuan Tseng Lee, Tzu Chiang JENQ-YUH KO |
關鍵字: | Pull-through | Tongue base cancer | Tongue cancer | Total glossectomy with laryngeal suspension | 公開日期: | 1-十二月-2022 | 出版社: | ELSEVIER TAIWAN | 卷: | 121 | 期: | 12 | 起(迄)頁: | 2626 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background/Purpose: Locally advanced tongue or tongue base cancer is recommended to be treated by radical resection that is usually detrimental to physiological functions. This study reports the efficacy and treatment outcome of the patients who had received total glossectomy and laryngeal suspension without lip-split mandibulotomy and free flap reconstruction to preserve laryngopharyngeal function. Methods: From 2010 to 2018, 37 consecutive patients who had received the surgery were retrospectively recruited. Results: The overall five-year survival is 72%. The postoperative dependent rate of feeding tube and tracheostomy largely decreases within 1-year follow-up. Treated by this surgical method, these patients are free from facial disfiguration, donor site morbidity, and destructive mastication and occlusion. It is also feasible to perform this surgical technique in the recurrent cases previously treated by chemoradiation. Conclusion: Total glossectomy with laryngeal suspension can be successfully applied to locally advanced tongue or tongue base cancer, and benefits the patients with improved survival and preserved physiological function. Especially surgeons for free flap reconstruction are understaffed at some regional or district hospitals. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/628709 | ISSN: | 09296646 | DOI: | 10.1016/j.jfma.2022.07.007 |
顯示於: | 醫學系 |
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