Total glossectomy: Technique review

Advanced cancers of oral tongue and recurrent/residual tumors arising from base of tongue may require total glossectomy for curative intent treatment. This procedure is considered morbid due to possibility of life threatening aspiration. This review discusses the technical nuances to reduce function...

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Main Authors: Viswanath Neelakantan, Girish S Shetkar, Vikram D Kekatpure
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Head & Neck Physicians and Surgeons
Subjects:
Online Access:http://www.jhnps.org/article.asp?issn=2347-8128;year=2020;volume=8;issue=1;spage=3;epage=7;aulast=Neelakantan
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author Viswanath Neelakantan
Girish S Shetkar
Vikram D Kekatpure
author_facet Viswanath Neelakantan
Girish S Shetkar
Vikram D Kekatpure
author_sort Viswanath Neelakantan
collection DOAJ
description Advanced cancers of oral tongue and recurrent/residual tumors arising from base of tongue may require total glossectomy for curative intent treatment. This procedure is considered morbid due to possibility of life threatening aspiration. This review discusses the technical nuances to reduce functional morbidity. The pull through resection technique allows a compartmental resection of these tumors with adequate margin control without a need for mandibulotomy. Selection of appropriate flap to replace bulk and laryngeal suspension are essential components of reconstruction. With application of these technical advances and adequate post-operative swallow therapy, patients undergoing total glossectomy have acceptable functional outcome.
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spelling doaj.art-fbab576095594db9b16ad6ccf251e40a2022-12-21T23:47:06ZengWolters Kluwer Medknow PublicationsJournal of Head & Neck Physicians and Surgeons2347-81282347-81282020-01-01813710.4103/jhnps.jhnps_23_20Total glossectomy: Technique reviewViswanath NeelakantanGirish S ShetkarVikram D KekatpureAdvanced cancers of oral tongue and recurrent/residual tumors arising from base of tongue may require total glossectomy for curative intent treatment. This procedure is considered morbid due to possibility of life threatening aspiration. This review discusses the technical nuances to reduce functional morbidity. The pull through resection technique allows a compartmental resection of these tumors with adequate margin control without a need for mandibulotomy. Selection of appropriate flap to replace bulk and laryngeal suspension are essential components of reconstruction. With application of these technical advances and adequate post-operative swallow therapy, patients undergoing total glossectomy have acceptable functional outcome.http://www.jhnps.org/article.asp?issn=2347-8128;year=2020;volume=8;issue=1;spage=3;epage=7;aulast=Neelakantancompartmental resectionmicrovascular reconstructiontotal glossectomy
spellingShingle Viswanath Neelakantan
Girish S Shetkar
Vikram D Kekatpure
Total glossectomy: Technique review
Journal of Head & Neck Physicians and Surgeons
compartmental resection
microvascular reconstruction
total glossectomy
title Total glossectomy: Technique review
title_full Total glossectomy: Technique review
title_fullStr Total glossectomy: Technique review
title_full_unstemmed Total glossectomy: Technique review
title_short Total glossectomy: Technique review
title_sort total glossectomy technique review
topic compartmental resection
microvascular reconstruction
total glossectomy
url http://www.jhnps.org/article.asp?issn=2347-8128;year=2020;volume=8;issue=1;spage=3;epage=7;aulast=Neelakantan
work_keys_str_mv AT viswanathneelakantan totalglossectomytechniquereview
AT girishsshetkar totalglossectomytechniquereview
AT vikramdkekatpure totalglossectomytechniquereview