Anatomically-based transoral surgical approach to early-stage oral tongue squamous cell carcinoma

被引:14
作者
Calabrese, Luca [1 ]
Pietrobon, Giacomo [2 ]
Fazio, Enrico [3 ]
Abousiam, Monir [1 ]
Awny, Shadi [4 ]
Bruschini, Roberto [2 ]
Accorona, Remo [5 ]
机构
[1] San Maurizio Hosp, Div Otorhinolaryngol, Bolzano, Italy
[2] European Inst Oncol IRCCS, Div Otolaryngol & Head & Neck Surg, Milan, Italy
[3] Univ Insubria, Dept Otorhinolaryngol, Varese, Italy
[4] Mansoura Univ, Oncol Ctr, Dept Surg Oncol, Mansoura, Egypt
[5] Osped Maggiore Policlin, Dept Otorhinolaryngol & Head & Neck Surg, Fdn IRCCS Ca Granda, Milan, Italy
来源
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2020年 / 42卷 / 05期
关键词
early-stage oral tongue carcinoma; glossectomy; oral cavity cancer; tongue muscles; transoral approach; CANCER; MARGINS;
D O I
10.1002/hed.26095
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The mainstream of treatment of early-stage oral tongue squamous cell carcinoma (OTSCC) is represented by transoral resection with "adequate" free margins. Despite that, a precise and shared definition of "adequate margin" is lacking, and so is a standardized transoral surgical technique.The tongue is a symmetrically paired organ, consisting of intertwining intrinsic and extrinsic muscles, which can be distinguished during dissection. Routes of tumoral spread in oral tongue cancer are well-known and should be taken into account during resection. We propose herein a standardized and replicable surgical technique to resect early-stage OTSCC, based on rational anatomical considerations.
引用
收藏
页码:1105 / 1109
页数:5
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