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REVIEW ARTICLE
Year : 2020  |  Volume : 8  |  Issue : 1  |  Page : 3-7

Total glossectomy: Technique review


Department of Head and Neck Oncology, Cytecare Cancer Hospitals, Bengaluru, Karnataka, India

Correspondence Address:
Vikram D Kekatpure
Cytecare Cancer Hospital, Yelahanka, Bengaluru - 560 064, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jhnps.jhnps_23_20

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Advanced cancers of oral tongue and recurrent/residual tumors arising from base of tongue may require total glossectomy for curative intent treatment. This procedure is considered morbid due to possibility of life threatening aspiration. This review discusses the technical nuances to reduce functional morbidity. The pull through resection technique allows a compartmental resection of these tumors with adequate margin control without a need for mandibulotomy. Selection of appropriate flap to replace bulk and laryngeal suspension are essential components of reconstruction. With application of these technical advances and adequate post-operative swallow therapy, patients undergoing total glossectomy have acceptable functional outcome.


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