Total glossectomy: is it justified?

Background:  The treatment of advanced malignancies of the tongue with total glossectomy is controversial. Methods:  The present study retrospectively reviews 20 patients that had total glossectomy with or without laryngectomy performed at the Princess Alexandra Hospital (Woolloongabba, QLD, Austral...

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Bibliographic Details
Published in:ANZ journal of surgery 2004-03, Vol.74 (3), p.134-138
Main Authors: Bova, Ronaldo, Cheung, Ian, Coman, William
Format: Article
Language:English
Subjects:
Adenocarcinoma - mortality
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Adult
Aged
Aged, 80 and over
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Female
glossectomy
Glossectomy - adverse effects
Humans
Laryngectomy
Male
Middle Aged
Postoperative Complications
Quality of Life
Retrospective Studies
Tongue Neoplasms - mortality
Tongue Neoplasms - pathology
Tongue Neoplasms - surgery
Treatment Outcome
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Summary:Background:  The treatment of advanced malignancies of the tongue with total glossectomy is controversial. Methods:  The present study retrospectively reviews 20 patients that had total glossectomy with or without laryngectomy performed at the Princess Alexandra Hospital (Woolloongabba, QLD, Australia) over the past 10 years. The clinicopathologic parameters, perioperative morbidity and mortality were assessed. Results:  The 5 years disease free and disease specific survival rates were 34% and 38%, respectively. Ninety per cent of patients acquired independent oral feeding prior to discharge, while 57% of patients that had laryngeal preservation performed achieved satisfactory vocal rehabilitation. Conclusion:  Total glossectomy is an oncologically sound surgical procedure that should only be performed in carefully selected patients with advanced malignancies affecting the tongue.
ISSN:1445-1433
1445-2197
DOI:10.1046/j.1445-2197.2004.02912.x