喉前庭癌及舌根癌本文作者主张采取水平横断喉截除术,切除肿物及所属淋巴结,手术采用“U”形或“T”形切口,分离皮下组织,切除舌骨,并以甲状软骨中线中下1/3交界处为顶角,切除三角形甲状软骨,再于病变较轻侧前联合上切开喉部,确定肿瘤范围后行根治切除。为了保存喉及咽的功能,避免喉瘢痕狭窄,作者建议用舌、梨状窝及喉室粘膜修补缺损处。本文报导22例喉前庭及舌根癌,按上述方法进行手术,其中年龄小于50岁者8例、51—60岁者7例、60岁以上者7例。作者认为喉前庭癌单纯用放射治疗不能获得满意效果。22例均在放射治疗前进行这种喉成 Laryngeal vestibular and tongue cancer The authors advocate the use of horizontal transverse laryngectomy to remove the tumor and its associated lymph nodes. The operation uses a “U” or “T” incision to separate the subcutaneous tissue, remove the hyoid bone, and use the thyroid cartilage centerline. In the middle and lower thirds of the junction, the apex angle was removed, and the triangular thyroid cartilage was resected. The laryngeal part was then incised on the light side of the lesion, and the extent of the tumor was determined and radical resection was performed. In order to preserve the function of the larynx and pharynx and avoid stenosis of the laryngeal scar, the authors suggest repairing the defect with a tongue, a pear-shaped fossa, and the larynx mucosa. This article reported 22 cases of laryngeal vestibule and tongue base cancer. The surgery was performed according to the above method. Among them, 8 cases were younger than 50 years old, 7 cases were 51-60 years old, and 7 cases were 60 years old or older. The authors believe that radiation therapy for laryngeal vestibule alone cannot achieve satisfactory results. All 22 patients were treated before radiotherapy.