|
|
不裂开下唇下颌骨舌癌手术研究进展
|
Abstract:
舌癌是最常见的口腔恶性肿瘤，随着口腔癌的发病率和舌癌的发病率的逐渐上升，导致其治疗进展正备受关注。目前治疗舌癌的主要方法包括手术、放疗和化疗以及靶向治疗。手术治疗为首选，传统的手术治疗方法主要是通过切除肿瘤组织和相应的淋巴结来达到治疗的目的，但是对于一些局部较为复杂的病例，单纯的手术治疗会导致颏神经等重要组织损伤，给患者的生存和生活质量带来很大的影响。故探讨基于微创手术技术的不裂开下唇下颌骨舌癌手术治疗方法，借助先进的医疗设备和技术手段，开展针对舌癌的精准切除和组织修复操作是必要的。本综述旨在阐明目前针对舌癌的不裂开下唇下颌骨手术研究进展，对未来的治疗和研究方向提供一定的临床思路。
Tongue cancer is the most common malignant tumor in the oral cavity. With the increasing incidence of oral cancer and tongue cancer, their treatment advancements are receiving significant attention. Currently, the main methods for treating tongue cancer include surgery, radiation therapy, chemotherapy, and targeted therapy. Surgery is the preferred option, and traditional surgical methods mainly involve the removal of tumor tissue and corresponding lymph nodes to achieve the treatment goals. However, for some cases with complex local conditions, the use of conventional surgical treatment alone may result in damage to important tissues such as the lingual nerve, significantly impacting the patient’s survival and quality of life. Therefore, exploring minimally invasive surgical techniques for non-splitting mandibular tongue cancer surgery is necessary. Utilizing advanced medical equipment and technical means to perform precise resection and tissue repair for tongue cancer is crucial. This review aims to elucidate the current research progress in non-splitting mandibular tongue cancer surgery and provide clinical insights into future treatment and research directions.
| [1] | Sung, H., Ferlay, J., Siegel, R.L., Laversanne, M., Soerjomataram, I., Jemal, A., et al. (2021) Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71, 209-249. https://doi.org/10.3322/caac.21660 |
| [2] | Burus, T., Damgacioglu, H., Huang, B., Christian, W.J., Hull, P.C., Ellis, A.R., et al. (2024) Trends in Oral Tongue Cancer Incidence in the US. JAMA Otolaryngology-Head & Neck Surgery, 150, 436-443. https://doi.org/10.1001/jamaoto.2024.0301 |
| [3] | Best, D.L., Spresser, W., Shivers, P., Edwards, S.P. and Ward, B.B. (2021) Squamous Cell Carcinoma of the Tongue in Young Patients: A Case Series and Literature Review. Journal of Oral and Maxillofacial Surgery, 79, 1270-1286. https://doi.org/10.1016/j.joms.2020.12.018 |
| [4] | Крopotov, M.A., Ivanova, A.I., Petrov, V.N., et al. (2022) Особенности клинического течения и прогноз рака языка у женщин молодого возраста. Опухоли головы и шеи, 12, 28-36. |
| [5] | 贾玉林, 邵明, 朱钧一. 口底癌的手术治疗[J]. 中国实用口腔科杂志, 2020, 13(6): 325-328. |
| [6] | 倪幼康. 数字化导航技术和三维打印技术在下颌骨缺损修复中的应用[C]//中华口腔医学会口腔颌面-头颈肿瘤专业委员会. 2020年全国口腔颌面-头颈肿瘤学术大会暨中华口腔医学会口腔颌面-头颈肿瘤专业委员会学术年会——创新超越、共赢未来论文汇编. 北京: 中华口腔医学会, 2020: 2. |
| [7] | Wang, Y., Zhou, B., Liu, Z., Rui, T., Pan, C. and Chen, W. (2022) Modified Submandibular Mandibulotomy Approach without Lip-Splitting in Tongue Cancer. Journal of Plastic, Reconstructive & Aesthetic Surgery, 75, 3877-3903. https://doi.org/10.1016/j.bjps.2022.08.074 |
| [8] | 中华口腔医学会口腔颌面外科专业委员会. 导航引导颌骨缺损重建技术流程及操作的专家共识[J]. 中华口腔医学杂志, 2019, 54(5): 289-296. |
| [9] | Rao, V., Subash, A., Sinha, P., Prasad, R., Majumdar, K. and Puranik, P. (2020) Modified Facelift Approach for Posterior Segmental Mandibulectomy: A Blend of Oncology and Cosmesis. European Archives of Oto-Rhino-Laryngology, 277, 1205-1210. https://doi.org/10.1007/s00405-020-05793-3 |
| [10] | Min, F., Qiu, P., Zhu, X., Zhou, B., Lin, Z., Pan, C., et al. (2023) Modified Submandibular Mandibulotomy Approach versus Lip-Splitting Approach in Tongue Cancer Surgery: A Retrospective Paired-Cohort Study. Clinical Oral Investigations, 28, Article No. 32. https://doi.org/10.1007/s00784-023-05395-3 |
| [11] | 李海朋. 下颌骨边缘性切除术对涉及下颌骨的口腔鳞癌患者的临床疗效研究[J]. 实用癌症杂志, 2022, 37(1): 133-135. |
| [12] | 石亮, 宋晓彬, 王克涛, 等. 隐蔽切口入路内镜辅助颈部肿物切除效果初探[J]. 中华口腔医学杂志, 2020, 55(2): 115-118. |
| [13] | 苏娟, 李鹏, 吉晓滨, 等. V形隐蔽切口在腮腺良性肿瘤手术中的应用价值[J]. 临床耳鼻咽喉头颈外科杂志, 2019, 33(7): 661-664. |
| [14] | 李慧林, 谢马先, 麦合巴∙阿布来提, 等. 内镜下隐蔽切口治疗颌面部良性肿瘤[J]. 临床耳鼻咽喉头颈外科杂志, 2021, 35(3): 234-237. |
| [15] | 李晨, 李强, 常敏强. 颌面部隐蔽切口入路内镜辅助切除颈部良性肿瘤的疗效观察[J]. 浙江临床医学, 2021, 23(1): 59-61. |
| [16] | 中华人民共和国国家卫生健康委员会. 舌癌诊疗指南(2022年版) [EB/OL]. 2022-10-27. http://www.nhc.gov.cn/yzygj/s7659/202210/a19e8d0e0c25475fbc8958ed670893c8/files/5dcd7a8ae8bc4225b3dd0042456943de.pdf, 2024-05-15. |
| [17] | 中华口腔医学会口腔颌面-头颈肿瘤专业委员会. 舌黏膜鳞状细胞癌外科治疗的专家共识[J]. 中华口腔医学杂志, 2022, 57(8): 836-848. |
| [18] | Missale, F., Marchi, F., Iandelli, A., Subramaniam, N., Dokhe, Y., Sampieri, C., et al. (2022) Oncological Outcomes of Compartmental Surgery and Wide Local Excision in Oral Tongue and Floor of the Mouth Cancer. Oral Oncology, 135, Article 106210. https://doi.org/10.1016/j.oraloncology.2022.106210 |
| [19] | Machiels, J.-P., René Leemans, C., Golusinski, W., Grau, C., Licitra, L. and Gregoire, V. (2020) Squamous Cell Carcinoma of the Oral Cavity, Larynx, Oropharynx and Hypopharynx: EHNS-ESMO-ESTRO Clinical Practice Guidelines for Diagnosis, Treatment and Follow-up. Annals of Oncology, 31, 1462-1475. https://doi.org/10.1016/j.annonc.2020.07.011 |
| [20] | 承翼南, 羊一飞, 徐天舒, 等. 早期舌癌行颈淋巴结清扫术的探讨[J]. 南京医科大学学报(自然科学版), 2015, 35(2): 261-262. |
| [21] | 尚伟, 郑家伟. 2019年NCCN口腔口咽癌诊疗指南更新解读[J]. 中国口腔颌面外科杂志, 2019, 17(6): 497-501. |
| [22] | 谢远鸿, 郑军, 洪劲超, 等. 口腔癌根治术 + 改良颈淋巴结清扫术治疗口腔癌的效果分析[J]. 系统医学, 2022, 7(7): 1252-1255. |
| [23] | 万锦波, 钱一言, 王羽立, 等. 经侧方颈纹入路行选择性颈淋巴结清扫术的临床初探[J]. 口腔医学, 2024, 44(3): 179-182. |
| [24] | Khunteta, N., Katta, P., Badwal, J.S. and Ojha, T. (2021) The Mandible Sparing “POSC Technique” for Management of Middle and Posterior Third Tongue Cancers. Indian Journal of Otolaryngology and Head & Neck Surgery, 73, 252-256. https://doi.org/10.1007/s12070-021-02535-7 |
| [25] | Vyshnavi, V., Azeem Mohiyuddin, S.M. and Mohammadi, K. (2022) Comparison of Visor Access Approach with Lower LIP Split Approach in Resection of Oral Cancers. Indian Journal of Otolaryngology and Head & Neck Surgery, 75, 299-305. https://doi.org/10.1007/s12070-022-03166-2 |
| [26] | Kim, Y., Yang, J., Lee, D., Lee, J., Hwang, D., Ryu, M., et al. (2024) Retrospective Analysis on Prognosis of Oral Cancer Patients According to Surgical Approaches for Effective Cancer Ablation: Swing Approach versus Visor Approach. Maxillofacial Plastic and Reconstructive Surgery, 46, Article No. 15. https://doi.org/10.1186/s40902-024-00426-9 |
| [27] | Pitak-Arnnop, P., Witohendro, L.K., Tangmanee, C., Subbalekha, K., Sirintawat, N., Auychai, P., et al. (2022) Benefit-Risk Appraisal of Lip-Split Mandibular “Swing” vs. Transoral Approaches to Posterior Oral/Oropharyngeal Carcinomas Using Number Needed to Treat, to Harm, and Likelihood to Be Helped or Harmed. Surgical Oncology, 44, Article 101837. https://doi.org/10.1016/j.suronc.2022.101837 |
| [28] | Wang, Y., Zhou, B., Liu, Z., Rui, T., Pan, C. and Chen, W. (2022) Modified Submandibular Mandibulotomy Approach without Lip-Splitting in Tongue Cancer. Journal of Plastic, Reconstructive & Aesthetic Surgery, 75, 3877-3903. https://doi.org/10.1016/j.bjps.2022.08.074 |
| [29] | 李峻屹, 杨双林, 饶鹏程, 等. 前臂皮瓣与股前外侧皮瓣在舌癌术后软组织缺损修复中的应用研究[J]. 西南医科大学学报, 2020, 43(5): 463-468. |
| [30] | Izumi, K., Yortchan, W., Aizawa, Y., Kobayashi, R., Hoshikawa, E., Ling, Y., et al. (2023) Recent Trends and Perspectives in Reconstruction and Regeneration of Intra/Extra-Oral Wounds Using Tissue-Engineered Oral Mucosa Equivalents. Japanese Dental Science Review, 59, 365-374. https://doi.org/10.1016/j.jdsr.2023.10.002 |
| [31] | 聂芬, 孙鹏飞, 刘聪, 等. 局部皮瓣修复肿瘤切除术后头面部皮肤软组织缺损[J]. 青岛大学学报(医学版), 2020, 56(1): 72-75. |
| [32] | Cohen, L.E., Morrison, K.A., Taylor, E., Jin, J., Spector, J.A., Caruana, S., et al. (2018) Functional and Aesthetic Outcomes in Free Flap Reconstruction of Intraoral Defects with Lip-Split versus Non-Lip-Split Incisions. Annals of Plastic Surgery, 80, S150-S155. https://doi.org/10.1097/sap.0000000000001373 |
| [33] | 王子硕, 李矛, 刘瑜, 等. 功能性外科手术治疗下颌下腺良性肿瘤的疗效[J]. 安徽医学, 2022, 43(7): 791-795. |
| [34] | 刘黎平, 聂开瑜, 陈伟, 等. 唇部缺损修复的研究进展[J]. 中华整形外科杂志, 2019, 35(4): 495-499. |
| [35] | 潘永初, 李丹丹, 孙雯, 等. 三维打印技术在口腔正畸临床教学中的应用和展望[J]. 教育教学论坛, 2020(48): 248-250. |
| [36] | 吴茜, 王永前. 颌面部骨修复材料的应用与研究进展[J]. 中华整形外科杂志, 2022, 38(6): 713-719. |
| [37] | Zhang, Q., Wu, W., Qian, C., Xiao, W., Zhu, H., Guo, J., et al. (2019) Advanced Biomaterials for Repairing and Reconstruction of Mandibular Defects. Materials Science and Engineering: C, 103, Article 109858. https://doi.org/10.1016/j.msec.2019.109858 |
| [38] | Lee, S.Y., Daher, R., Jung, J., Kwon, H., Han, J. and Lee, J. (2023) Prosthetic Restorative Modality in Complete Edentulism and Its Association with Masticatory and Speech Discomforts: A Nationwide Cross-Sectional Study from Korea. Journal of Prosthodontic Research, 67, 524-530. https://doi.org/10.2186/jpr.jpr_d_22_00160 |
