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Pull-through oropharyngectomy in advanced stage malignant tumours
J Basterra1, J V Bagán, E Zapater
1Department of Otolaryngology, Valencia University Medical School, Spain.
The Journal of Laryngology and Otology
|July 11, 1998
Summary
This study presents a hemiglossectomy without mandibulectomy technique for oropharyngeal cancer. This surgical approach improves patient recovery and reduces complications by avoiding mandible resection.
Area of Science:
- Oncology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Oropharyngeal carcinomas often require surgical intervention.
- Traditional surgical approaches may involve significant morbidity due to mandible resection.
Purpose of the Study:
- To describe a modified surgical technique for extensive oropharyngeal carcinomas.
- To evaluate the outcomes of hemiglossectomy without mandibulectomy.
Main Methods:
- A modified pull-through approach was used for tumor resection.
- The technique involved en bloc resection of the oropharyngeal tumor with ipsilateral neck dissection.
- Mandible preservation was a key feature of the procedure.
Main Results:
- The hemiglossectomy without mandibulectomy technique was successfully performed in 14 patients.
- The approach avoided mandibulotomy or mandibulectomy.
- Improved postoperative recovery and reduced morbidity were observed.
Conclusions:
- Hemiglossectomy without mandibulectomy is a viable surgical option for extensive oropharyngeal carcinomas.
- This technique offers improved patient outcomes compared to traditional methods involving mandible resection.