title: [Surgical treatment of tonsillar cancer].
abstract: OBJECTIVE
  To study the surgical treatment of tonsillar cancer.
  
  
  METHODS
  Twenty-four patients with tonsillar cancer were treated with surgery and postoperative radiotherapy. The choice of surgical procedure was decided on the condition of the lesion. The tumor was resected through the transoral approach, mandibular swing approach, mandibular resection approach or hyoid approach. Surgical defect was repaired by pectoralis major myocutaneous flap, sternohyoid myofascial flap, tongue flap or soft palate flap.
  
  
  RESULTS
  The 3- and 5-year survival rates were 76.0% and 60.8%. Function of chewing, deglutition, respiration and speech was restored well.
  
  
  CONCLUSIONS
  Method of total resection of the tonsillar carcinoma through the optimum approach is best chosen according to the condition of the lesion, while preserving the oropharyngeal function. When combined with postoperative radiotherapy, the survival rate and quality of life of patients can be improved.
authors.affiliation: Department of Oto-rhino-laryngology, Qilu Hospital of Shandong University, Jinan 250012, China.
authors.forename: Li-qiang
authors.initials: LQ
authors.lastname: Zhang
authors.forename: Guang
authors.initials: G
authors.lastname: Xie
authors.forename: Xin-liang
authors.initials: XL
authors.lastname: Pan
authors.forename: Xin-yong
authors.initials: XY
authors.lastname: Luan
authors.forename: Feng-cai
authors.initials: FC
authors.lastname: Wei
authors.forename: Yong
authors.initials: Y
authors.lastname: Wang
authors.forename: Qiu-an
authors.initials: QA
authors.lastname: Yang
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010160:Palate, Soft / Q000601:surgery; D019651:Plastic Surgery Procedures; D015996:Survival Rate; D014059:Tongue / Q000601:surgery; D014067:Tonsillar Neoplasms / Q000401:mortality / Q000601:surgery*