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Related Experiment Videos

Oncologic and functional considerations of total glossectomy.

M R Sultan1, J J Coleman

  • 1Department of Surgery, Emory University Affiliated Hospitals, Atlanta Veterans Administration Medical Center, Georgia.

American Journal of Surgery
|October 1, 1989
PubMed
Summary

Total glossectomy is effective for advanced tongue cancer, offering good survival and functional outcomes. This procedure, including speech and swallowing recovery, should be considered a primary treatment option.

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Area of Science:

  • Oncology
  • Head and Neck Surgery

Background:

  • The role of total glossectomy in advanced tongue cancer is debated.
  • Previous studies have not fully established its oncologic and functional benefits.

Purpose of the Study:

  • To evaluate the oncologic and functional outcomes of total glossectomy for advanced tongue cancer.
  • To assess the procedure's viability as a primary treatment modality.

Main Methods:

  • Retrospective chart review of 17 patients undergoing total glossectomy.
  • Analysis of oncologic data (survival, disease-free survival) and functional outcomes (swallowing, speech).
  • Reconstruction methods included pectoralis major myocutaneous flaps and free-tissue transfer.

Main Results:

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  • 53% of patients were alive without disease at a mean follow-up of 36 months.
  • 93% regained swallowing and independent oral alimentation.
  • 80% with laryngeal preservation achieved intelligible speech.

    • Conclusions:

    • Total glossectomy offers excellent survival and functional results for advanced tongue cancer.
    • It should be considered a primary treatment option, not just for salvage.
    • The procedure can yield positive outcomes with or without laryngectomy.