BACKGROUND The management of tongue carcinoma is excision and radical neck dissection followed with reconstruction.This is a case report of a patient with tongue squamous cell carcinoma(SCC)who underwent the procedure...BACKGROUND The management of tongue carcinoma is excision and radical neck dissection followed with reconstruction.This is a case report of a patient with tongue squamous cell carcinoma(SCC)who underwent the procedure with sternocleidomastoid(SCM)flap reconstruction.CASE SUMMARY A 52-year-old woman without smoking history complained tongue ulcer since 3 years ago.Based on the histopathological examination,the patient was diagnosed with T2N2M0 right tongue SCC and underwent wide excision of tumor;right mandibular;neck dissection and were reconstructed with SCM flap.CONCLUSION SCC of the tongue requires wide excision and dissection of the neck and mandible if infiltration into the surrounding lymph nodes has been found.The SCM flap reconstruction could be used post-surgery.展开更多
目的探究小儿先天性肌性斜颈(congenital muscular torticollis,CMT)伴发先天性髋关节发育不良(developmental dysplasia of the hip,DDH)的临床特征,从而辅助临床早期诊断。方法方便选取2021年1月—2023年1月于厦门弘爱医院入院治疗的8...目的探究小儿先天性肌性斜颈(congenital muscular torticollis,CMT)伴发先天性髋关节发育不良(developmental dysplasia of the hip,DDH)的临床特征,从而辅助临床早期诊断。方法方便选取2021年1月—2023年1月于厦门弘爱医院入院治疗的86例CMT患儿作为研究对象,根据患儿是否伴发DDH分为研究组(CMT伴发DDH,16例)与对照组(CMT,70例),所有患儿均接受超声检查,观察比较两组患儿的一般情况,分析研究组16例CMT伴发DDH患儿的发病情况,并比较两组患儿双侧胸锁乳突肌(sternocleidomastoid muscle,SCM)厚度比率及差值。结果86例CMT患儿中,16例患儿伴发先天性髋关节发育不良,伴发率为18.61%。两组患儿性别、颈斜程度比较,差异无统计学意义(P>0.05);两组患儿日龄比较,差异有统计学意义(P<0.05)。研究组16例患儿中,GrafⅡ分型在髋关节Graf分型中占据比率为87.50%,DDH发生部位中左侧发生率最高,发生率为75.00%;与CMT发生部位比较,同侧发生率最高,发生率为75.00%。研究组双侧SCM厚度比率(2.41±0.95)%及差值(0.69±0.20)cm明显高于对照组,差异有统计学意义(t=3.131、3.466,P<0.05)。结论CMT与DDH有一定伴发率,且好发于低日龄儿童,以GrafⅡ分型居多;DDH多发于左侧,且与CMT发生部位比较,同侧发生率最高,对于临床早期发现、诊断、治疗CMT伴发DDH有一定辅助价值。展开更多
文摘BACKGROUND The management of tongue carcinoma is excision and radical neck dissection followed with reconstruction.This is a case report of a patient with tongue squamous cell carcinoma(SCC)who underwent the procedure with sternocleidomastoid(SCM)flap reconstruction.CASE SUMMARY A 52-year-old woman without smoking history complained tongue ulcer since 3 years ago.Based on the histopathological examination,the patient was diagnosed with T2N2M0 right tongue SCC and underwent wide excision of tumor;right mandibular;neck dissection and were reconstructed with SCM flap.CONCLUSION SCC of the tongue requires wide excision and dissection of the neck and mandible if infiltration into the surrounding lymph nodes has been found.The SCM flap reconstruction could be used post-surgery.
文摘目的探究小儿先天性肌性斜颈(congenital muscular torticollis,CMT)伴发先天性髋关节发育不良(developmental dysplasia of the hip,DDH)的临床特征,从而辅助临床早期诊断。方法方便选取2021年1月—2023年1月于厦门弘爱医院入院治疗的86例CMT患儿作为研究对象,根据患儿是否伴发DDH分为研究组(CMT伴发DDH,16例)与对照组(CMT,70例),所有患儿均接受超声检查,观察比较两组患儿的一般情况,分析研究组16例CMT伴发DDH患儿的发病情况,并比较两组患儿双侧胸锁乳突肌(sternocleidomastoid muscle,SCM)厚度比率及差值。结果86例CMT患儿中,16例患儿伴发先天性髋关节发育不良,伴发率为18.61%。两组患儿性别、颈斜程度比较,差异无统计学意义(P>0.05);两组患儿日龄比较,差异有统计学意义(P<0.05)。研究组16例患儿中,GrafⅡ分型在髋关节Graf分型中占据比率为87.50%,DDH发生部位中左侧发生率最高,发生率为75.00%;与CMT发生部位比较,同侧发生率最高,发生率为75.00%。研究组双侧SCM厚度比率(2.41±0.95)%及差值(0.69±0.20)cm明显高于对照组,差异有统计学意义(t=3.131、3.466,P<0.05)。结论CMT与DDH有一定伴发率,且好发于低日龄儿童,以GrafⅡ分型居多;DDH多发于左侧,且与CMT发生部位比较,同侧发生率最高,对于临床早期发现、诊断、治疗CMT伴发DDH有一定辅助价值。
