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目的 :探讨口外径路切除舌根良性肿瘤的可行性及优点。方法 :采用咽侧入路及舌骨区入路切除咽喉部良性肿瘤 11例 ,并应用舌瓣后置和 (或 )局部拉拢缝合及胸骨舌骨肌肌筋膜瓣修复舌根创面及缺损。结果 :肿瘤均完整切除 ,随访 3年无复发 ;患者均恢复了饮食及言语功能 ,平均恢复经口进食时间为 12 .0 3d ;患者术后初期均伴有不同程度的言语含糊不清 ,5例切除范围较大者尤为明显 ,经锻炼后逐步好转 ,能恢复正常言语交流。结论 :对口内暴露视野受限 ,肿瘤位置偏后 ,或延及会厌、咽侧壁 ,深部生长明显 ,肿瘤巨大考虑切除后缺损巨大或血运丰富估计经口切除出血难以控制者用口外径路是有效的方法。
Objective: To investigate the feasibility and advantages of excision of tongue base benign tumor by oral route. Methods: 11 cases of benign tumor of pharynx were excised with pharyngeal approach and hyoid area approach, and the flap and / or defect of tongue were repaired by posterior and / or local suture and sternohyoid myofascial flap. Results: The tumors were completely resected and no recurrence was observed after 3 years of follow-up. All patients recovered their diet and verbal function, and the mean oral intake time was 12.0 days. All patients had varying degrees of vague vagueness after the initial operation. 5 Case resection of the larger is particularly obvious, gradually improved after exercise, to resume normal verbal communication. CONCLUSIONS: The visual field of intraoral exposure is limited, the tumor position is late, or extended to the epiglottis, pharyngeal side wall, deep growth significantly, the tumor considered after huge excision huge loss or rich blood supply is estimated to be difficult to control the oral removal of bleeding pathways with the mouth is effective method.