Discontinuous versus in-continuity neck dissection of squamous cell carcinoma of tongue and floor of the mouth

doi:10.3969/j.issn.1005-4979.2021.03.001

《Journal of Oral and Maxillofacial Surgery》 ›› 2021, Vol. 31 ›› Issue (3): 131-136. doi: 10.3969/j.issn.1005-4979.2021.03.001

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Discontinuous versus in-continuity neck dissection of squamous cell carcinoma of tongue and floor of the mouth

JIA Jun¹^,²(), ZHAO Yifang²()

¹ The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine, Ministry of Education
² Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan 430079,Hubei Province, China

Received:2021-03-22 Revised:2021-05-22 Online:2021-06-28 Published:2021-07-08

舌、口底癌的连续性与非连续性颈淋巴清扫术

贾俊¹^,²(), 赵怡芳²()

¹ 湖北省口腔基础医学重点实验室-省部共建国家重点实验室培育基地，教育部口腔生物医学工程重点实验室
² 武汉大学口腔医学院·口腔医院口腔颌面外科，湖北武汉 430079

通讯作者: 赵怡芳，教授. E-mail: yifang@whu.edu.cn

作者简介:

[专家介绍] 贾俊，医学博士，副教授、主任医师。现任武汉大学口腔医院口腔颌面-头颈肿瘤外科副主任；兼任中国整形美容协会口腔整形美容分会常务理事、中国抗癌协会头颈肿瘤专业委员会委员、中华口腔医学会口腔颌面-头颈肿瘤外科专业委员会委员、湖北省口腔医学会口腔颌面外科专业委员会副主任委员、武汉市口腔医学会口腔颌面外科专业委员会副主任委员。主要研究方向为口腔颌面部恶性肿瘤及口腔颌面部脉管性疾病，以第一作者或通信作者发表SCI论文30余篇。擅长口腔颌面部肿瘤的常见或疑难病例诊治，以及口腔颌面部组织缺损的修复重建。
贾俊（1973—），男，江苏镇江人，主任医师，博士. E-mail: junjia@whu.edu.cn

基金资助:
国家自然科学基金(81870783)

Abstract

Abstract:

Squamous cell carcinoma of tongue and floor of the mouth(SCCOTFM) accounts for approximately fifty percent of oral cancer. This region is complicated in anatomy, abundant in lymphatic circulation and prone to metastasis. Neck dissection is the most effective modality to control cervical recurrence and metastasis. Sentinel lymph node biopsy and lymphatic mapping are helpful for preoperative evaluation of the indications of neck dissection. Lingual lymph nodes are closely related to the recurrence and metastasis of SCCOTFM. In-continuity neck dissection can remove the lymphatic channel and lymph nodes of tongue and between floor of the mouth and neck, which makes the clearness of pathological tissues more thorough and is suitable for SCCOTFM larger than T2 stage. Discontinuous neck dissection should be used for T1-2N0 stage carcinoma of the oral tongue without involvement of floor of the mouth, to avoid oral dysfunction by surgery.

Key words: floor of the mouth, tongue, squamous cell carcinoma, neck dissection

摘要：

舌、口底癌约占口腔癌的50%，此区域解剖结构复杂、淋巴回流丰富，容易发生转移。颈淋巴清扫术是控制颈部复发及转移最有效的方法。前哨淋巴结活检和淋巴成像有助于术前判断颈淋巴清扫术的适应证。舌淋巴结与舌、口底癌的复发及转移关系密切。连续性颈淋巴清扫术（in-continuity neck dissection）可以清扫包括舌淋巴结在内的位于舌、口底与颈部中间区域的淋巴回流通道，清扫更为彻底，适用于T2期以上的舌、口底癌。对于无明显口底受累的T1~2N0期舌癌可采用非连续性颈淋巴清扫术，以减少手术对口腔功能的影响。

关键词: 口底, 舌, 鳞状细胞癌, 颈淋巴清扫术

CLC Number:

R782
R739.8

JIA Jun, ZHAO Yifang. Discontinuous versus in-continuity neck dissection of squamous cell carcinoma of tongue and floor of the mouth[J]. 《Journal of Oral and Maxillofacial Surgery》, 2021, 31(3): 131-136.

贾俊, 赵怡芳. 舌、口底癌的连续性与非连续性颈淋巴清扫术[J]. 《口腔颌面外科杂志》, 2021, 31(3): 131-136.

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