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口腔癌下颌骨骨段切除术由Ward和Robben首先提出,当时认为,舌与口底的淋巴管经由下颌骨舌侧骨膜到达颈部淋巴结,因而为保证根除癌肿,防止颈部转移,必须进行下颌骨整块骨段切除。这一观点在头颈外科持续数十年之久。为提高治愈率,有学者甚至提出切除更大范围的骨块和软组织。这种大范围的切除,常需更复杂的修复手术,包括90年代广泛应用的游离组织瓣移值术来恢复下颌骨前部的完整性。
Oral cancellous mandibular resection was first proposed by Ward and Robben when it was thought that the lymphatic vessels at the lingual and oral floor reach the cervical lymph nodes via the lingual periosteum of the mandible and that in order to ensure the eradication of cancer and the prevention of neck metastasis, Whole jaw bone segment resection. This view continues for decades in head and neck surgery. In order to improve the cure rate, some scholars even proposed to remove a wider range of bone and soft tissue. This extensive resection often requires more complex repair procedures, including the widespread use of free flap surgery in the 1990s to restore the integrity of the anterior mandible.