Locally advanced cancer of the tongue base: new method of surgical treatment
Introduction. Patients are characterized by locally advanced tumors in 70–80 % of cases at presentation, so possibility of cure and surgical treatment is limited. Total glossectomy, tongue base resection is associated with severe and permanent disability. Such surgical procedures lead to severe dysp...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
ABV-press
2018-04-01
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| Series: | Опухоли головы и шеи |
| Subjects: | |
| Online Access: | https://ogsh.abvpress.ru/jour/article/view/318 |
| _version_ | 1797876198478446592 |
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| author | I. A. Zaderenko A. M. Mudunov S. Yu. Ivanov R. I. Azizyan A. A. Akhundov S. B. Alieva V. T. Tsiklauri M. N. Narimanov A. E. Kazimov K. D. Il’kaev A. V. Khromushina |
| author_facet | I. A. Zaderenko A. M. Mudunov S. Yu. Ivanov R. I. Azizyan A. A. Akhundov S. B. Alieva V. T. Tsiklauri M. N. Narimanov A. E. Kazimov K. D. Il’kaev A. V. Khromushina |
| author_sort | I. A. Zaderenko |
| collection | DOAJ |
| description | Introduction. Patients are characterized by locally advanced tumors in 70–80 % of cases at presentation, so possibility of cure and surgical treatment is limited. Total glossectomy, tongue base resection is associated with severe and permanent disability. Such surgical procedures lead to severe dysphagia, alalia and social maladjustment. Enumerated issues motivated us to develop new method of surgical treatment of locally advanced base of tongue cancer.Objective is to introduce new opportunities of surgical treatment of locally advanced cancer of the tongue base.Materials and methods. Glossectomy is accomplished in 5 patients suffering from tongue cancer and admitted to N.N. Blokhin National Medical Research Center of Oncology. Swallowing and speech is preserved in all 5 cases.Results. The main advantage of the proposed method is that the cut out muscle flap has a different innervation from different cranial nerves involved in the rate of swallowing, so there is not just a mechanical movement of the epiglottis, but also the control of swallowing by the central nervous system. The reduction of injury and operation time in the proposed method is due to the fact that tissues directly contacting with the defect are used to preserve swallowing and speech. The proposed muscle flap has various sources of blood supply, which improves its nutrition and reduces the risk of complications, and healing occurs in a shorter time in comparison with the prototype. All of the above reduces the duration of hospitalization for an average of 7–9 days.Conclusion. The developed surgical technique allows to achieve early rehabilitation; patients are able to breathe effortlessly, swallow and speak. There is no need in permanent tracheostoma and percutaneous endoscopic gastrostomy tube. All patients remains socially active. |
| first_indexed | 2024-04-10T01:58:22Z |
| format | Article |
| id | doaj.art-2f1da49ccd3a4e9f90497a3616e42378 |
| institution | Directory Open Access Journal |
| issn | 2222-1468 2411-4634 |
| language | Russian |
| last_indexed | 2024-04-10T01:58:22Z |
| publishDate | 2018-04-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Опухоли головы и шеи |
| spelling | doaj.art-2f1da49ccd3a4e9f90497a3616e423782023-03-13T08:43:19ZrusABV-pressОпухоли головы и шеи2222-14682411-46342018-04-0181121610.17650/2222-1468-2018-8-1-12-16284Locally advanced cancer of the tongue base: new method of surgical treatmentI. A. Zaderenko0A. M. Mudunov1S. Yu. Ivanov2R. I. Azizyan3A. A. Akhundov4S. B. Alieva5V. T. Tsiklauri6M. N. Narimanov7A. E. Kazimov8K. D. Il’kaev9A. V. Khromushina10ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России.ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России.Кафедра челюстно-лицевой хирургии и хирургической стоматологии ФГАОУ ВО «Российский университет дружбы народов».ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России.ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России.ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России.ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России.ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России.ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России.ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России.Кафедра челюстно-лицевой хирургии и хирургической стоматологии ФГАОУ ВО «Российский университет дружбы народов».Introduction. Patients are characterized by locally advanced tumors in 70–80 % of cases at presentation, so possibility of cure and surgical treatment is limited. Total glossectomy, tongue base resection is associated with severe and permanent disability. Such surgical procedures lead to severe dysphagia, alalia and social maladjustment. Enumerated issues motivated us to develop new method of surgical treatment of locally advanced base of tongue cancer.Objective is to introduce new opportunities of surgical treatment of locally advanced cancer of the tongue base.Materials and methods. Glossectomy is accomplished in 5 patients suffering from tongue cancer and admitted to N.N. Blokhin National Medical Research Center of Oncology. Swallowing and speech is preserved in all 5 cases.Results. The main advantage of the proposed method is that the cut out muscle flap has a different innervation from different cranial nerves involved in the rate of swallowing, so there is not just a mechanical movement of the epiglottis, but also the control of swallowing by the central nervous system. The reduction of injury and operation time in the proposed method is due to the fact that tissues directly contacting with the defect are used to preserve swallowing and speech. The proposed muscle flap has various sources of blood supply, which improves its nutrition and reduces the risk of complications, and healing occurs in a shorter time in comparison with the prototype. All of the above reduces the duration of hospitalization for an average of 7–9 days.Conclusion. The developed surgical technique allows to achieve early rehabilitation; patients are able to breathe effortlessly, swallow and speak. There is no need in permanent tracheostoma and percutaneous endoscopic gastrostomy tube. All patients remains socially active.https://ogsh.abvpress.ru/jour/article/view/318местно-распространенный рак корня языкаглоссэктомияхирургическое лечение |
| spellingShingle | I. A. Zaderenko A. M. Mudunov S. Yu. Ivanov R. I. Azizyan A. A. Akhundov S. B. Alieva V. T. Tsiklauri M. N. Narimanov A. E. Kazimov K. D. Il’kaev A. V. Khromushina Locally advanced cancer of the tongue base: new method of surgical treatment Опухоли головы и шеи местно-распространенный рак корня языка глоссэктомия хирургическое лечение |
| title | Locally advanced cancer of the tongue base: new method of surgical treatment |
| title_full | Locally advanced cancer of the tongue base: new method of surgical treatment |
| title_fullStr | Locally advanced cancer of the tongue base: new method of surgical treatment |
| title_full_unstemmed | Locally advanced cancer of the tongue base: new method of surgical treatment |
| title_short | Locally advanced cancer of the tongue base: new method of surgical treatment |
| title_sort | locally advanced cancer of the tongue base new method of surgical treatment |
| topic | местно-распространенный рак корня языка глоссэктомия хирургическое лечение |
| url | https://ogsh.abvpress.ru/jour/article/view/318 |
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