Total glossectomy for advanced carcinoma of the base of the tongue

Sessions, Donald G.; Stallings, James O.; Brownson, Richmond Jay; Ogura, Joseph H.

doi:10.1288/00005537-197301000-00004

Cited by 34 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the management of cancer of the tongue, total glossectomy has been advocated as an alternative method of tumour ablation (Sessions et al, 1973;Kothary et al, 1974;Effron et al, 1981;Biller et al, 1983). Because of the importance of the tongue as an organ essential for swallowing, speech and articulation this alternative is invariably used only when other methods of treatment have been exhausted in form of salvage surgery.…”

Section: Introductionmentioning

confidence: 99%

Total glossectomy: reconstruction and rehabilitation

Tiwari

Greven

Karim³

et al. 1989

J. Laryngol. Otol.

View full text Add to dashboard Cite

Patients with carcinoma of the tongue including the base of the tongue who underwent total glossectomy in a period of just over ten years since January 1979 have been reviewed. Total glossectomy may be indicated as salvage surgery or as a primary procedure. The larynx may be preserved or may have to be sacrificed depending upon the site of the lesion. When the larynx is preserved the use of laryngeal suspension facilitates early rehabilitation and preserves the quality of life to a large extent. Cricopharyngeal myotomy seems unnecessary.

show abstract

Section: Introductionmentioning

confidence: 99%

Total glossectomy: reconstruction and rehabilitation

Tiwari

Greven

Karim³

et al. 1989

J. Laryngol. Otol.

View full text Add to dashboard Cite

show abstract

“…11 Early reconstruction involved regional pedicle flaps, including the pectoralis major myocutaneous flap. [12][13][14][15] The development of microsurgical techniques broadened the reconstructive armamentarium to include free tissue transfer for oropharyngeal reconstruction. [16][17][18][19][20][21][22][23][24] Although the goal of resection is complete excision, tissue preservation is required to maintain aesthetic and functional results, including deglutition, respiration, and speech production.…”

mentioning

confidence: 99%

Optimizing Outcomes following Total and Subtotal Tongue Reconstruction: A Systematic Review of the Contemporary Literature

Manrique

Leland

Langevin

et al. 2016

J reconstr Microsurg

View full text Add to dashboard Cite

More than 45,000 Americans are diagnosed with oropharyngeal cancer annually and multimodal treatment often requires wide excision, lymphadenectomy, chemotherapy, and radiation. Total and subtotal lingual resection severely impairs speech, swallow, and quality of life (QoL). This study investigates functional outcomes and QoL following subtotal and total tongue resection with free tissue transfer reconstruction. A systematic review of the English language literature was performed using PubMed, Ovid, Embase, and Cochrane databases based on predetermined inclusion/exclusion criteria. Included studies were reviewed for surgical technique, adjuvant treatment, surgical and functional outcomes, and QoL. From an initial search yield of 1,467 articles, 22 studies were included for final analysis. Speech intelligibility was correlated with the volume and degree of protuberance of the neotongue. Adjuvant therapy (radiation) and large tumor size were associated with worse speech and swallow recovery. At 1 year follow-up, despite 14 to 20% rates of silent aspiration, 82 to 97% of patients resumed oral feeding. Neurotized flaps have been demonstrated to improve flap sensation but have not yet demonstrated any significant impact on speech or swallow recovery. Finally, many patients continue to experience pain after surgery, but patient motivation, family support with physician, and speech therapist follow-up are associated with improved QoL scores. Tongue reconstruction is dictated by the amount of soft tissue resection. Taking into consideration the most common factors involved after tongue resection and reconstruction, further studies should focus on more objective measurements to offer solutions and maximize final outcomes.

show abstract

“…In the era prior to advanced reconstructive techniques, removal of the total tongue resulted in devastating impact on speech and swallowing. Total laryngectomy was felt to be required even if the tumor did not involve the larynx . With the introduction of both pedicled and free tissue transfer, total glossectomy with laryngeal preservation has become possible, allowing patients to maintain oral intake and intelligible speech.…”

mentioning

confidence: 99%