根治性颈部清扫术

Q3 Medicine
Madelyn N. Stevens MD , Alexandra E. Kejner MD FACS
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引用次数: 0

摘要

根治性颈部清扫最初是作为头颈部恶性肿瘤的“整体”淋巴结切除术技术发展起来的,有时用于目前无法进行保留治疗的大体积疾病和挽救性疾病的治疗。虽然大多数颈部解剖不再是根治性的,但最佳的技术和对术后护理的理解是重要的。回顾了历史和当前的文献,以便在执行此操作时提供最新的描述和考虑因素。手术技术以及现代适应症和禁忌症的描述。讨论了常见的并发症和减少术后发病率的选择。虽然整体切除头颈部恶性肿瘤的范例已经改变,根治性颈部清扫仍然是当代头颈部外科医生在某些病例中使用的有用工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radical neck dissection
Radical neck dissection was originally developed as an “en bloc” lymphadenectomy technique for malignancies of the head and neck and is sometimes utilized in current management for bulky disease not otherwise amenable to preservation therapy and for salvage disease. Although the majority of neck dissections are no longer radical, optimal technique is important as is the understanding of postoperative care. Historic and current literature was reviewed in order to provide the most up-to-date descriptions and considerations when performing this operating. Surgical technique is described as well as modern indications and contraindications. Common complication and options for minimizing postoperative morbidities are discussed. While the paradigm for en bloc resection of head and neck malignancy has changed, radical neck dissection remains a useful tool in the armamentarium of the contemporary head and neck surgeon for select cases.
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
46
审稿时长
43 days
期刊介绍: This large-size, atlas-format journal presents detailed illustrations of new surgical procedures and techniques in otology, rhinology, laryngology, reconstructive head and neck surgery, and facial plastic surgery. Feature articles in each issue are related to a central theme by anatomic area or disease process. The journal will also often contain articles on complications, diagnosis, treatment or rehabilitation. New techniques that are non-operative are also featured.
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