METHOD OF TREATMENT OF LOCALLY ADVANCED ROOT CANCER

FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to oncology, plastic surgery, maxillofacial surgery, dentistry, rehabilitation medicine, and can be used to treat locally advanced root cancer of the tongue. Perform radical neck dissection on both sides. Dissect the lower lip along the middle line, the mucous membrane of the mouth and the skin of the chin area. Lower jaw is skeletonized in the chin. Produce an osteotomy between the central incisors of the lower jaw. Move to the sides fragments of the lower jaw. Get the tongue out of the mouth and fix it. Perform a total removal of the tongue and cutting it off from the epiglottis. Tissues of the bottom of the oral cavity are mobilized. Isolate and mobilize muscle fragments musculus Stylohyoideus, m. Styloglossus and m. Constrictor pharyngis superior from the opposite side. Suture them with the remains of your own epiglottis muscles m. Arytenoideus obliquus, m. Thyroepiglotticus and suture directly to cartilage of the epiglottis. In this case, the seams are applied, evenly distributing them along the semicircle of the epiglottis. Suture the tissues of the bottom of the mouth. Fragments of the jaw are fixed by osteosynthesis. Wounds on the neck are sutured. Produce a tracheostomy.EFFECT: method ensures the preservation of the function of swallowing and speech, reducing the traumatic nature of surgical intervention, eliminating the need for additional surgical interventions, reduction in the length of stay of patients in the hospital and the interval of postoperative radiotherapy, as well as reduction of the periods of rehabilitation of patients due to optimal access and cross-linking of muscle fragments musculus Stylohyoideus, musculus Styloglossus and musculus Constrictor pharyngis superior with the remains of their own muscles and the cartilage of the epiglottis, as well as through the use of tissues directly in contact with the defect.1 cl, 5 dwg, 1 ex Изобретение относится к медицине, а именно к онкологии, пластической хирургии, челюстно-лицевой хирургии, стоматологии, реабилитационной медицине, и может быть использовано для лечения местно-распространенного рака корня языка. Выполняют радикальную шейную диссекцию с двух сторон. Рассекают нижнюю губу по средней линии, слизистую преддверья рта и кожу подбородочной области. Скелетируют нижнюю челюсть в подбородочном отделе. Производят остеотомию между центральными резцами нижней челюсти. Разводят в стороны фрагменты нижней челюсти. Выводят яз