中国耳鼻咽喉颅底外科杂志2026，Vol.32Issue(4)：1-3,3.DOI:10.11798/j.issn.1007-1520.202626238
经口舌根病变外科治疗中术野显露的瓶颈与技术演进
Limitations in surgical exposure and technical evolution of transoral surgical treatment for tongue base lesions
李进让1
作者信息
- 1. 解放军总医院第六医学中心耳鼻咽喉头颈外科医学部 咽喉嗓音外科/耳鼻喉疾病国家临床医学研究中心,北京 100048
- 折叠
摘要
Abstract
Tongue base lesions are located deep within the oropharynx with intricate adjacent anatomical structures,and they border critical functional regions responsible for airway maintenance and swallowing.Poor surgical field exposure has long been the core bottleneck restricting the safety and radicality of surgical management for such lesions.Conventional open surgery involves significant trauma and results in unsatisfactory cosmetic outcomes.Although laser and coblation technologies have greatly advanced minimally invasive treatment,they still fail to overcome limitations regarding deep surgical visualization and blind operating zones.Transoral robotic surgery(TORS),leveraging its advantages of three-dimensional high-definition visualization,flexible robotic arms,and precise manipulation,offers a novel technical platform for improving exposure of deep lingual lesions and enhancing the safety of resection of complex tongue base lesions.This commentary reviews the exposure challenges,mainstream technical approaches and developmental trends of transoral surgery for tongue base lesions,aiming to provide theoretical references for surgical procedure selection and standardized therapeutic protocols.关键词
舌根病变/术野/显露/微创外科Key words
Tongue base lesions/Surgical field/Surgical exposure/Minimally invasive surgery分类
医药卫生引用本文复制引用
李进让..经口舌根病变外科治疗中术野显露的瓶颈与技术演进[J].中国耳鼻咽喉颅底外科杂志,2026,32(4):1-3,3.
