Glossectomy
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Glossectomy Reported by: Ms. Pamela Lusung
• Glossectomy is a surgery for the removal of total or a part of the tongue.
Purpose A glossectomy is performed to treat cancer of the tongue. Removing the tongue is indicated if the patient has a cancer that does not respond to other forms of treatment
• Partial Glossectomy • A partial glossectomy is rather a simple surgery. The hole is normally repaired by sewing up the tongue immediately after the surgery or by using a small graft of skin, if the "hole" left by the removal of the cancer is small.
• Radial Forearm Free Flap • A general approach is to use a piece of skin taken from the wrist together with the blood vessels that supply it.
• Total Glossectomy • Complete removal of the tongue, called a total glossectomy. Complete glossectomy is hardly performed.
Diagnosis • Biopsy is the only way to confirm a diagnosis of cancer, if an area of abnormal tissue has been found in the mouth, either by the patient or by a dentist or doctor. If the biopsy indicates that cancer is present, a comprehensive physical examination of the patient's head and neck is performed prior to surgery.
Post Glossectomy Care • After the performance of the glossectomy, patients usually remain in the hospital for 8 to 10 days. They often need oxygen in the first 24–48 hours after the surgery.
• Until the patient can accept taking food by mouth, he or she is given fluids through a tube that goes from the nose to the stomach. Radiation treatment is often scheduled after the surgery to demolish any remaining cancer cells. As patients regain the ability to eat and swallow, they also begin speech therapy.
Risk factors Of Glossectomy • Fistula formation. • Poor speech and problem in swallowing. • Bleeding from the tongue. • Flap failure.
Results after Glossectomy surgery:
• A successful glossectomy results in total removal of the cancer, better capability to swallow food, and restored speech. • Total glossectomy results in severe disability.
Partial glossectomy
• Glossectomy is a surgery for the removal of total or a part of the tongue.
Purpose A glossectomy is performed to treat cancer of the tongue. Removing the tongue is indicated if the patient has a cancer that does not respond to other forms of treatment
• Partial Glossectomy • A partial glossectomy is rather a simple surgery. The hole is normally repaired by sewing up the tongue immediately after the surgery or by using a small graft of skin, if the "hole" left by the removal of the cancer is small.
• Radial Forearm Free Flap • A general approach is to use a piece of skin taken from the wrist together with the blood vessels that supply it.
• Total Glossectomy • Complete removal of the tongue, called a total glossectomy. Complete glossectomy is hardly performed.
Diagnosis • Biopsy is the only way to confirm a diagnosis of cancer, if an area of abnormal tissue has been found in the mouth, either by the patient or by a dentist or doctor. If the biopsy indicates that cancer is present, a comprehensive physical examination of the patient's head and neck is performed prior to surgery.
Post Glossectomy Care • After the performance of the glossectomy, patients usually remain in the hospital for 8 to 10 days. They often need oxygen in the first 24–48 hours after the surgery.
• Until the patient can accept taking food by mouth, he or she is given fluids through a tube that goes from the nose to the stomach. Radiation treatment is often scheduled after the surgery to demolish any remaining cancer cells. As patients regain the ability to eat and swallow, they also begin speech therapy.
Risk factors Of Glossectomy • Fistula formation. • Poor speech and problem in swallowing. • Bleeding from the tongue. • Flap failure.
Results after Glossectomy surgery:
• A successful glossectomy results in total removal of the cancer, better capability to swallow food, and restored speech. • Total glossectomy results in severe disability.
Partial glossectomy
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