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Related Experiment Videos

Indications, reconstructive techniques, and results for total glossectomy.

Alejandro Mazarro1, Alba de Pablo1, Carolina Puiggròs2

  • 1Oral and Maxillofacial Department, Hospital Vall d'Hebron, Barcelona, Spain.

Head & Neck
|February 3, 2016
PubMed
Summary

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Total glossectomy with laryngeal preservation offers comparable oncologic outcomes to laryngectomy for advanced tongue tumors. However, it may increase gastrostomy dependency, necessitating careful patient selection.

Area of Science:

  • Oncology
  • Head and Neck Surgery
  • Reconstructive Surgery

Background:

  • Treatment for advanced tongue tumors is debated.
  • Total glossectomy with laryngeal preservation is a potential option despite associated morbidity.

Purpose of the Study:

  • To evaluate reconstruction techniques, survival, and functional outcomes of total glossectomy with laryngeal preservation.
  • To compare outcomes with traditional total glossectomy with laryngectomy.

Main Methods:

  • Retrospective analysis of 12 patients undergoing total glossectomy with laryngeal preservation.
  • Assessment of reconstruction techniques, survival rates (OS, DFS), and functional outcomes (gastrostomy dependency, speech intelligibility).

Main Results:

Keywords:
glossectomylaryngectomyreconstructionsurvivaltongue cancer

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  • One-year overall survival (OS) and disease-free survival (DFS) were 58.3% and 33.3%, respectively, decreasing to 25% at 3 years.
  • Ten patients required permanent gastrostomy, though videofluoroscopy showed adequate liquid tolerance.
  • Speech intelligibility was satisfactory in 50% and severely impaired in 50% of patients.

Conclusions:

  • Laryngeal preservation in advanced tongue tumors (without supraglottic invasion) shows similar oncologic results to laryngectomy but improves phonatory function.
  • This approach is linked to higher gastrostomy dependency.
  • Careful patient selection is crucial for optimal outcomes.