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頁籤選單縮合
題名 | 舌癌患者術後吞嚥功能之探討--病例報告=The Functions of the Tongue after Subtotal Glossectomy Due to Tongue Squamous Cell Carcinoma--A Case Report |
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作者 | 錢世康; 侯俊羽; 鄭育誠; 許文祥; 林冠州; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷期 | 22:4 2011.12[民100.12] |
頁次 | 頁275-283 |
分類號 | 416.894 |
關鍵詞 | 舌癌; 重建; 吞嚥; 舌切除術; Tongue cancer; Reconstruction; Swallowing; Glossectomy; |
語文 | 中文(Chinese) |
中文摘要 | 根據國健局96年度報告,舌癌為最常見的口腔癌之一,約佔整體口腔癌的29.3%。舌癌患者常因術後舌部功能受限而導致飲食障礙,造成吞嚥障礙,營養不良,吸入性肺炎等併發症。隨著重建技術的進步,舌經廣泛性切除後立即接受適當的顯微重建手術已可恢復患者大部分的吞嚥功能。本病例舌切除達四分之三,經以大腿前外側自由皮瓣重建,恢復舌部外型及功能。術後一年,病患已可正常進食及工作,表示舌部運動並未因手術造成明顯障礙,故提出本病例並做文獻回顧及討論。 |
英文摘要 | Squamous cell carcinoma of the tongue is one of the most common oral cancers in Taiwan. It accounts for about 29.3% of all oral cancers. Complications such as impaired swallowing, malnutrition and aspiration pneumonia often occur because of tongue mobility limitation after surgery. Due to improvement of surgical techniques, the immediate reconstruction for glossectomy patients can restore not only the shape but also the function of the tongue. In the case, a 44 year-old male suffered from squamous cell carcinoma over the left border of his tongue. He received subtotal glossectomy and immediate reconstruction utilizing a left anterolateral thigh free flap to rebuild the function and shape of his tongue. During the first year's follow-up, his swallowing and enunciation function were acceptable. |
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