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在舌癌患者中,有一部份病例广泛侵及舌前份或后份并向深部浸润到舌实质内,导致舌强直(ankyloglossia)、发音困难和局部的或耳部放射性的剧痛;但是可以一直没有淋巴结转移。对于这样的病例曾采用姑息性放疗或仅给予止痛和支持疗法。其后果由于口内有一个巨大的恶臭的肿瘤,剧烈的疼痛以及吞咽和呼吸困难,使患者于短期内死亡。对于这些病例,作者提出了一种包括全舌、口底和舌骨上三角内容的整块切除术。在印度孟买Tata纪念医院,自1967年至1972年间共施行根治性全舌切除术26例。选择的病例是肿瘤限于舌和口底,没有侵犯下颌牙槽或咽侧壁,而且除颌下和面下部淋
In patients with tongue cancer, some cases extensively invade the anterior or posterior portion of the tongue and deeply infiltrate into the parenchyma of the tongue, resulting in ankyloglossia, dysphonia, and local or ototoxic pain; however, There has been no lymph node metastasis. Palliative radiotherapy or pain relief and supportive therapy have been used for such cases. As a result, the patient dies within a short period of time due to a huge stinking tumor in the mouth, severe pain, and swallowing and breathing difficulties. For these cases, the authors proposed a lump resection that included whole tongue, floor and upper hyoid contents. Tata Memorial Hospital in Mumbai, India, from 1967 to 1972, a total of 26 cases of radical total lingual resection. Selected cases are limited to the tongue and mouth tumor, did not violate the mandibular alveolar or pharyngeal wall, and in addition to submandibular and subcutaneous lymph