{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T23:17:36Z","timestamp":1783034256265,"version":"3.54.6"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die traditionelle Chirurgie des Plattenepithelkarzinoms der Zunge basiert auf der Resektion mit definierten Sicherheitsabst\u00e4nden.<\/jats:p>\n                  <jats:p>Das biologische Verhalten von Zungen- und Mundbodenkrebs kann jedoch unvorhersehbar sein und oft das zuvor erw\u00e4hnte Konzept sicherer chirurgischer R\u00e4nder umgehen, aufgrund der Komplexit\u00e4t der Zungenanatomie und der Existenz multipler Tumorausbreitungswege, einschlie\u00dflich extrinsischer Muskelfasern, neurovaskul\u00e4rer Strukturen und lymphatischer Netzwerke, die es dem Neoplasma erm\u00f6glichen, \u00fcber seine sichtbaren makroskopischen Grenzen hinauszugehen.<\/jats:p>\n                  <jats:p>Auf der Grundlage dieser multipler Ausbreitungswege wurde in den letzten zwei Jahrzehnten die kompartimentale Chirurgie zur Behandlung von Zungen- und Mundbodenkrebs als Alternative zu traditionelleren transoralen Resektionen vorgeschlagen. Dieses Verfahren basiert auf der En-bloc-Resektion des Tumors, der zervikalen Lymphknoten und des Tumor-Knoten-Traktes entlang anatomischer Ausbreitungswege. Eine Literatur\u00fcbersicht wurde anhand relevanter Schl\u00fcsselbegriffe durchgef\u00fchrt: (tongue carcinoma) OR (tongue cancer) OR (oral cavity cancer) AND (compartmental surgery).<\/jats:p>\n                  <jats:p>Vierzehn Studien wurden analysiert. Die Ergebnisse beschreiben ein anatomiebasiertes, funktionsschonendes Operationskonzept. Im Vergleich zur konventionellen partiellen Glossektomie zeigte die kompartimentale Chirurgie verbesserte onkologische Ergebnisse bei vergleichbaren funktionellen Resultaten.<\/jats:p>\n                  <jats:p>Die kompartimentale Chirurgie stellt ein standardisiertes und reproduzierbares Verfahren zur Behandlung des Zungenkarzinoms dar, das ausreichende onkologische Radikalit\u00e4t mit funktionellem Erhalt verbindet.<\/jats:p>","DOI":"10.1055\/a-2785-2987","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:31:45Z","timestamp":1771029105000},"page":"418-426","source":"Crossref","is-referenced-by-count":0,"title":["Anatomisch-gef\u00fchrter kompartimental Ansatz bei fortgeschrittenen Zungentumoren"],"prefix":"10.1055","volume":"105","author":[{"given":"Luca","family":"Gazzini","sequence":"additional","affiliation":[{"name":"S\u00fcdtiroler Sanit\u00e4tsbetrieb \u2013 Krankenhaus Bozen, Bolzano, 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