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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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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. |
first_indexed | 2024-12-13T12:01:05Z |
format | Article |
id | doaj.art-fbab576095594db9b16ad6ccf251e40a |
institution | Directory Open Access Journal |
issn | 2347-8128 2347-8128 |
language | English |
last_indexed | 2024-12-13T12:01:05Z |
publishDate | 2020-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Head & Neck Physicians and Surgeons |
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 |