Partial Glossectomy for Tongue Cancer
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2025-03-08
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Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery
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University of Cape Town
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Abstract
Cancers of the tongue are generally treated with primary surgical resection. Adjuvant radiation is indicated inter alia for advanced tumours, tumours with perineural invasion (PNI) or uncertain/close margins. Resecting tongue cancer without considering subsequent oral function may severely cripple a patient in terms of speech, mastication, oral transport and swallowing. Resecting the anterior arch of the mandible beyond the midline without reconstructing bone and with loss of the anterior attachments of the suprahyoid muscles (digastric, geniohyoid, mylohyoid, genioglossus) causes an Andy Gump deformity with loss of oral competence, drooling, and a very poor cosmetic outcome
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Reference:
Fagan, J. 2025. Partial Glossectomy for Tongue Cancer. In Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. J. Fagan, Ed.Cape Town, South Africa: University of Cape Town. 14. http://hdl.handle.net/11427/43560 .