FIELD: medicine, oncosurgery.
SUBSTANCE: one should perform tracheotomy, fulfill fascial-sheath dissection of jugular fiber at tightening external carotid artery, remove the tumor of glossal root and posterior-lateral departments of oral bottom, make cutaneous incision from submandibular area up to the upper clavicular edge ahead of a nodding muscle, leave median pedicle and a muscular part that covers vascular-nervous bundle, dissect lateral pedicle in the site of its fixation to a clavicle by keeping axial vascularization, form a skin fragment being 3-4 cm above the line of muscular dissection at its bottom being on a nodding muscle, which corresponds to postoperational defect by its area, apply a skin-muscular fragment into the tunnel developed in oral bottom, fold the dissected edge of a nodding muscle as a duplicature to be sutured up to the stump of glossal root, cover postoperational wound with a skin fragment, fix a nodding muscle to surrounding tissues, apply sutures onto subcutaneous-fatty fiber and skin. The method enables to improve functions of swallowing and nutrition and restore patient's distinct speech.
EFFECT: higher efficiency.
1 ex
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Authors
Dates
2006-01-20—Published
2004-06-30—Filed