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Total glossectomy without laryngectomy.

R Brusati, M Collini, A Bozzetti

    Journal of Maxillofacial Surgery
    |February 1, 1986
    PubMed
    Summary
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    For advanced tongue cancer (T3, T4), total glossectomy offers a viable treatment option when radiotherapy fails. This surgery, followed by reconstruction, enables tumor removal and leads to acceptable functional recovery and quality of life.

    Area of Science:

    • Surgical Oncology
    • Head and Neck Cancer Treatment
    • Reconstructive Surgery

    Background:

    • Advanced tongue cancer (T3, T4) presents significant treatment challenges.
    • Radiotherapy is often ineffective for large tongue tumors.

    Purpose of the Study:

    • To evaluate the efficacy of total glossectomy without laryngectomy for advanced tongue cancer.
    • To assess the functional outcomes and quality of life following this surgical approach.

    Main Methods:

    • Presentation of eight cases undergoing total glossectomy without laryngectomy.
    • Discussion of ablative and reconstructive surgical techniques using musculo-cutaneous flaps.
    • Analysis of postoperative complications and functional rehabilitation.

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    Main Results:

    • Total glossectomy allows complete tumor removal for advanced tongue cancer.
    • Patients experience impaired mastication but rapid recovery of swallowing.
    • Phonation remains comprehensible, supporting an acceptable quality of life and return to work.

    Conclusions:

    • Total glossectomy without laryngectomy is a feasible therapeutic option for advanced tongue cancer.
    • Immediate reconstruction with musculo-cutaneous flaps yields acceptable functional results.
    • This approach supports a good quality of life and vocational rehabilitation.