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Total glossectomy: reconstruction and rehabilitation.
R M Tiwari1, A J Greven, A B Karim
1Department of Otolaryngology, Head & Neck Surgery, Free University Hospital, Amsterdam, The Netherlands.
The Journal of Laryngology and Otology
|October 1, 1989
Summary
Total glossectomy for tongue cancer can be a primary or salvage procedure. Preserving the larynx with laryngeal suspension aids rehabilitation and quality of life, making cricopharyngeal myotomy appear unnecessary.
Area of Science:
- Oncology
- Otolaryngology
- Head and Neck Surgery
Background:
- Tongue cancer treatment often involves surgical resection.
- Total glossectomy is a radical procedure for advanced tongue carcinoma.
- Surgical technique impacts functional outcomes and quality of life.
Purpose of the Study:
- To review outcomes of total glossectomy for tongue cancer.
- To evaluate the role of larynx preservation in functional recovery.
- To assess the necessity of cricopharyngeal myotomy in these patients.
Main Methods:
- Retrospective review of patients undergoing total glossectomy.
- Analysis of surgical approach, including larynx preservation.
- Evaluation of rehabilitation and functional outcomes.
Main Results:
- Total glossectomy was performed as primary or salvage surgery.
- Larynx preservation was feasible depending on lesion location.
- Laryngeal suspension facilitated early rehabilitation and improved quality of life.
- Cricopharyngeal myotomy was deemed unnecessary.
Conclusions:
- Total glossectomy is a viable option for advanced tongue cancer.
- Larynx preservation with laryngeal suspension is crucial for functional outcomes.
- Routine cricopharyngeal myotomy is not indicated in total glossectomy patients.