【摘要】 目的 :探讨晚期扁桃体癌的手术治疗方式及术后缺损的 期修复。方法 :对 7例晚期扁桃体癌患者 ,除 1例行改良颈清扫术外 ,余均行根治性颈清扫术 ,经口腔及咽侧进路肿瘤切除各 1例 ;经颈 -颌 -扁桃体联合进路肿瘤切除 5例 ,其中 3例采用前臂桡侧游离皮瓣 期修复 ,2例采用胸大肌肌皮瓣 期修复。结果 :经颈 -颌 -扁桃体联合进路肿瘤切除 ,并采用组织皮瓣修复的 5例 ,术后随访 1～ 5年 3个月 ,均健在 ,无肿瘤复发 ,功能恢复满意 ;经口腔及咽侧进路切除肿瘤的 2例 ,术后 2个月及 8个月肿瘤复发 ,分别于术后 1年及 2年 10个月死亡。结论 :对晚期扁桃体癌手术治疗宜取颈 -颌 -扁桃体联合进路肿瘤切除术式 ;同时 ,宜用前臂桡侧游离皮瓣或胸大肌肌皮瓣修复。更多还原

【Abstract】 Objective:To investigate the operative approach and reconstruction for the patients with advanced stage tonsillar cancer.Method:7 cases with advanced stage tonsillar cancer were operated from Dec .1994 to May 1999. Among them , 5 cases were operated through combined neck mandible oral cavity approach (CNMOCA) and with immediate reconstruction.Forearm free skin (FFS) flaps were applied in 3 cases.Pectoralis major myocutaneous (PMM) flaps were applied in 2 cases.2 other cases were operated separately through approach of oral cavity or lateral pharngx.6 cases were operated with radical neck dissection.Result:5 cases who were operated through CNMOCA or with reconstraction were followed up from 1 year to 5 years and 3 months.They had not recurrence of tumor and complication.All had function recovery of speech.Swallowing or appearance is satisfactory in the 3 cases with FFS flaps.2 Other cases died as recurrence of tumor in 1 year and 2 years and 10 months post operation.Conclusion:CNMOCA is able to provide a good exposure method to remove the extensive tumors completely for the patients with advanced stage tonsillar cancer.It is necessary to reconstruct immediately for the patients.更多还原