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Related Experiment Videos

The questionable value of total glossectomy.

D Harrison

    Head & Neck Surgery
    |November 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Total glossectomy may benefit selected tongue cancer patients, especially when partial glossectomy with radiotherapy leads to recurrence. However, total laryngectomy for extensive tumors presents significant challenges.

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    Area of Science:

    • Oncology
    • Surgical Oncology

    Background:

    • Squamous cell carcinoma of the tongue is a significant oral cancer.
    • Treatment options include radiotherapy and glossectomy, with varying recurrence rates.

    Purpose of the Study:

    • To evaluate the efficacy of total glossectomy in managing tongue cancer.
    • To assess the role of total glossectomy in relation to radiotherapy and laryngectomy.

    Main Methods:

    • Retrospective analysis of 104 patients with tongue squamous cell carcinoma.
    • Categorization of treatments: total glossectomy with laryngectomy, total glossectomy alone, and partial glossectomy with radiotherapy.

    Main Results:

    • 14 patients underwent total glossectomy and laryngectomy; 2 had total glossectomy alone.

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  • High local recurrence rates observed with partial glossectomy following radiotherapy.
  • Total laryngectomy for advanced tumors showed limited cure rates and significant rehabilitation issues.

    • Conclusions:

    • Total glossectomy can be a valuable option for selected tongue cancer patients.
    • Partial glossectomy combined with radiotherapy may lead to higher recurrence rates.
    • Total laryngectomy is associated with poor prognosis and substantial post-operative challenges.