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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Lateral pharyngotomy for selected invasive squamous cell carcinoma of the lateral oropharynx - Part I: How
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Lateral pharyngotomy for selected invasive squamous cell carcinoma of the lateral oropharynx - Part I: How

机译：侧向咽喉细胞癌的侧向咽喉咽喉咽喉咽喉咽部 - 第一部分：如何

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Objectives/Hypothesis To revisit the surgical technique of lateral pharyngotomy in patients with selected, isolated, and untreated invasive squamous cell carcinoma of the lateral oropharynx. To describe postoperative management, complications, and functional outcomes. Study Design Retrospective review from a French university teaching hospital. Methods Ninety-one patients consecutively underwent lateral pharyngotomy for selected T1-T4 squamous cell carcinoma of the lateral oropharynx. Results Of the patients, 73.6% and 98.9% experienced an uncomplicated surgical and medical postoperative course, respectively. There were no intraoperative deaths, but a single patient died in the immediate postoperative period from carotid rupture following salivary oropharyngeal fistula. The most common significant complications were severe postoperative swallowing impairment, pneumonia from aspiration, and salivary oropharyngeal fistula noted in 6.5%, 4.3%, and 4.3% of cases, respectively. In univariate analysis, none of the variables under analysis was related to the various significant complications noted and/or to immediate postoperative death. No patient had a permanent tracheotomy, whereas one had a permanent gastrostomy. Of the patients in whom a full course of radiation therapy was delivered postoperatively, 13.6% developed a major complication. Conclusions From a functional point of view, lateral pharyngotomy is a safe, reliable surgery with few major complications and might be considered a valuable alternative to chemoradiation and/or mandibulotomy for selected tumors of the lateral oropharynx.
机译：目标/假设重新审视侧咽喉症患者患者侧向咽喉术的外科技术。描述术后管理，并发症和功能结果。法国大学教学医院的研究设计回顾性审查。方法九十八患者连续接受侧咽部咽部咽部咽部咽喉细胞癌。患者的结果，73.6％和98.9％分别经历了简单的外科医学和医学术后课程。没有术中死亡，但单身患者在唾液口咽瘘后从颈动脉破裂的直接术后死亡。最常见的显着并发症是严重的术后吞咽损伤，肺炎，吸入，唾液口咽瘘分别为6.5％，4.3％和4.3％的病例。在单变量分析中，正在分析下的变量均与指出的各种显着并发症和/或立即术后死亡有关。没有患者患有永久的气管切开术，而一个人有永久性胃造口术。术后递送了全部放射治疗的患者的患者，13.6％发布了一个重大并发症。结论从功能性的角度来看，侧咽部咽部是一种安全，可靠的手术，具有很少的主要并发症，并且可能被认为是侧面口咽所选择的肿瘤的化学肿瘤和/或mangibulOtomy的有价值的替代品。

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