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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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