目的:舌癌(TSCC)切除和重建的手术方法有争议或没有唇裂切口。这项研究引入了一种改良的方法,没有嘴唇分裂,并评估了临床结果。
方法:68例TSCC患者使用改良的颌下颌下颌下颌下切开术(MSMM)方法进行手术,另外68例使用唇裂下颌骨切开术(LSM)的患者被纳入本研究。临床结果包括术中相关性和手术并发症,生存状态,面部外观和疤痕评分,下唇的功能,和生活质量(QOL)进行评估。
结果:通过MSMM方法整块切除原发性肿瘤,具有良好的肿瘤暴露和R0切除边缘作为LSM方法。两组患者的生存状态和并发症相似。MSMM组患者术后1个月下唇功能较好。通过疤痕评分和QOL评估,与LSM方法相比,MSMM方法具有明显更好的面部外观和娱乐性。
结论:无唇裂的MSMM方法实现了相似的肿瘤控制,更好的美学效果,和QOL与LSM方法相比。它是TSCC患者安全有效的手术方法。
结论:无唇裂的MSMM方法是舌癌手术的肿瘤学安全性,并作为治疗概念的一部分进行了审查,以获得更好的美学效果。
OBJECTIVE: The surgical approach for resection and reconstruction of tongue cancer (TSCC) with or without the lip-splitting incision is controversial. This
study introduced a modified approach without lip-splitting and the clinical results were assessed.
METHODS: Sixty-eight TSCC patients underwent surgery using the modified submandibular
mandibulotomy (MSMM) approach without lip-splitting, and another matched 68 patients using lip-splitting
mandibulotomy (LSM) approach were enrolled in this
study. The clinical results including intraoperative relevance and surgical morbidities, survival status, facial appearance and scar scores, function of lower lip, and quality of life (QOL) were evaluated.
RESULTS: The primary tumors were en bloc resected through the MSMM approach with excellent tumor exposure and R0 resection margins as LSM approach. The survival status and complications were similar in both groups. The function of lower lip was better in patients of MSMM group at 1 month after surgery. The MSMM approach was associated with significantly better facial appearance and recreation compared to LSM approach by scar scores and QOL assessment.
CONCLUSIONS: The MSMM approach without lip-splitting achieves similar tumor control, better aesthetic results, and QOL compared to LSM approach. It is a safe and effective surgical approach for patients with TSCC.
CONCLUSIONS: The MSMM approach without lip-splitting is oncological safety in tongue cancer surgery and is scrutinized as one part of the treatment concept for better aesthetic results.