舌亜全摘術に対する理想的な切除と再建の考え方とは

伏見 千宙; 多田 雄一郎; 増淵 達夫; 馬場 大輔; 木谷 洋輔; 山﨑 森里生; 田中 惇平; 北嶋 達也; 羽生 健治; 新田 義洋; 柴﨑 知生; 三浦 弘規

doi:10.5843/jsot.31.181

Symposium 5: What is the ideal reconstruction for oral cancer treatment?

What is the best way of resection for subtotal glossectomy?

Chihiro Fushimi, Yuichiro Tada, Tatsuo Masubuchi, Daisuke Baba, Yosuke Kitani, Morio Yamazaki, Jyumpei Tanaka, Tatsuya Kitajima, Kenji Hanyu, Yoshihiro Nitta, Tomoo Shibasaki, Koki Miura

Author information

Chihiro Fushimi
Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital
Yuichiro Tada
Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital
Tatsuo Masubuchi
Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital
Daisuke Baba
Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital
Yosuke Kitani
Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital
Morio Yamazaki
Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital
Jyumpei Tanaka
Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital
Tatsuya Kitajima
Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital
Kenji Hanyu
Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital
Yoshihiro Nitta
Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital
Tomoo Shibasaki
Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital
Koki Miura
Department of Head and Neck Oncology and Surgery, International University of Health and Welfare Mita Hospital

Keywords: glossectomy, subtotal glossectomy, reconstruction

JOURNAL FREE ACCESS

2019 Volume 31 Issue 4 Pages 181-189

DOI https://doi.org/10.5843/jsot.31.181

Details

Abstract

Speech and swallowing function are significantly impaired when excision is more than subtotal glossectomy. The purpose of reconstruction is to maintain the patient’s QOL by ensuring the airway, speech and swallowing function. Individual cases may not achieve the same results. The purposes of resection are: no recurrence, function preservation, and high reproducibility. Reconstruction is easy to predict because there is no recurrence, no postoperative irradiation and clear remaining function, and is considered a better technique overall.

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