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Total glossectomy: reconstruction and rehabilitation

Published online by Cambridge University Press:  29 June 2007

R. M. Tiwari*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery.
A. J. Greven
Affiliation:
Department of Phoinatry and Speech Pathology.
A. B. M. F. Karim
Affiliation:
Department of Radiotherapy.
G. B. Snow
Affiliation:
Department of Otolaryngology, Head and Neck Surgery.
*
R. M. Tiwari, MD, MS, PhD, FRCS, Associate Professor, Department of Otolaryngology, Head & Neck Surgery, Free University Hospital, de Boelelaan 1117, 1081 HV Amsterdam, The Netherlands.

Abstract

Patients with carcinoma of the tongue including the base of the tongue who underwent total glossectomy in a period of just over ten years since January 1979 have been reviewed. Total glossectomy may be indicated as salvage surgery or as a primary procedure. The larynx may be preserved or may have to be sacrificed depending upon the site of the lesion. When the larynx is preserved the use of laryngeal suspension facilitates early rehabilitation and preserves the quality of life to a large extent. Cricopharyngeal myotomy seems unnecessary.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1989

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References

Ali, S., Tiwari, R. M., Snow, G. B. and v. d. Waal, I. (1986). Incidence of sequamous cell carcinoma of the head and neck. Journal of Laryngology and Otology, 100: 315327.CrossRefGoogle Scholar
Bhalavat, R. L. (1988). In Current Trends in the Management of Cancer (Desai, P. B. and Rao, R. S., eds.), 94101, Professional Educational Division, Tata Memorial Hospital, Bombay.Google Scholar
Biller, H. F., Lawson, W. and Baek Se-Min, A. (1988). Total glossectomy. Archives of Otolaryngology, 109: 6973.CrossRefGoogle Scholar
Calcaterra, T. C. (1971). Laryngeal suspension after supraglottic laryngectomy. Archives of Otolaryngology, 94: 306309.CrossRefGoogle ScholarPubMed
Donaldson, R. C., Skelly, M. and Paletta, F. X. (1968). Total glossectomy for cancer. American Journal of Surgery, 116: 585590.CrossRefGoogle ScholarPubMed
Effron, M. J., Johnson, J. T., Myers, E. N., Curtin, H., Beery, A. and Sigler, B. (1981). Advanced carcinoma of the tongue. Archives of Otolaryngology, 109: 694697.CrossRefGoogle Scholar
Goode, R. L. (1976). Laryngeal suspension in head and neck surgery. Laryngoscope, 86: 349354.CrossRefGoogle ScholarPubMed
Hillel, A. D., Goode, R. L. and Stanford, C. A. (1983). Lateral laryngeal suspension: a new procedure to minimize swallowing disorders following tongue base resection. Laryngoscope, 93: 2631.CrossRefGoogle ScholarPubMed
Jesse, R. and Sugarbaker, E. (1976). Squamous cell carcinoma of the oropharynx: Why we fail. American Journal of Surgery, 132: 435438.CrossRefGoogle ScholarPubMed
Kothary, P. M., Paymaster, J. C. and Potdar, G. G. (1974). Radical total glossectomy. British Journal of Surgery, 61: 209212.CrossRefGoogle ScholarPubMed
Kremen, A. J. (1951). Cancer of the tongue. A surgical technique for a primary combined en bloc resection of the tongue, floor of the mouth and cervical lymphatics. Surgery, 30: 227246.Google ScholarPubMed
Lauciello, F. R., Vergot, J., Schaaf, N. G. and Zimmerman, R. (1980). Prosthodontic and speech rehabilitation after partial and complete glossectomy. Journal of Prosthetic Dentistry, 43: 204211.CrossRefGoogle ScholarPubMed
Massengill, R., Maxwell, S. and Pickrell, K. (1970). Swallowing characteristic noted in a glossectomy patient. Plastic and Reconstructive Surgery, 45: 8991.CrossRefGoogle Scholar
Moore, D. J. (1972). Glossectomy rehabilitation by mandibular tongue prosthesis. Journal of Plastic Dentistry, 28: 429433.Google ScholarPubMed
Myers, E. N. (1972). Otolaryngologic Clinics of North America (Strong, M. S., ed.) 343355, W. B. Saunders Co., Philadelphia.Google Scholar
Parsons, J. T., Million, R. R. and Cassisi, N. J. (1982). Carcinoma of the base of the tongue: Results of radical irradiation with surgery reserved for irradiation failure. Laryngoscope, 92: 689696.CrossRefGoogle ScholarPubMed
Pradhan, S. A., Rajpal, R. M. and Kothary, P. M. (1980). Surgical management of postradition residual recurrent cancer. Journal of Surgical Oncology, 14: 201206.CrossRefGoogle Scholar
Sessions, D. G., Stallings, J. O., Brownson, R. J. and Ogura, J. H. (1973). Total glossectomy for advanced carcinoma of the base of the tongue. Laryngoscope, 83: 3950.CrossRefGoogle ScholarPubMed
Sousza de, L. J. and Martins, O. J. (1975). Swallowing and speech after radical total glossectomy with tongue prosthesis. Oral Surgery, Oral Medicine, Oral Pathology 39: 356360.CrossRefGoogle Scholar
Vries, N. de, Waal, I. van der and Snow, G. B. (1986). Multiple primary tumours in oral cancer. International Journal of Oral and Maxillofacial Surgery, 15: 8587.CrossRefGoogle ScholarPubMed