The primary types of ENT surgery procedures are tonsillectomy, ear procedures (myringoplasty, tympanoplasty), functional endoscopic sinus surgery (FESS), tracheostomy, thyroidectomy and parathyroidectomy, adenoidectomy, tongue operations (glossectomy
, frenectomy), laryngeal operations, pharyngeal operations, and radical neck dissection.
The tongue tie was treated surgically through glossectomy
prior to orthodontic treatment.
The type of resection should be modified as necessary, such as hemiglossectomy, partial glossectomy
, segmental mandibulectomy, and partial maxillectomy (Figure 1, A through D).
modality Prognosis 1 Partial Patient died 8 months glossectomy
+ after surgery due to radiotherapy systemic disease 2 Palliative Patient is alive at 3 chemotherapy months after diagnosis 3 Radiotherapy Patient was alive, and the to the neck disease was under control and systemic at 18 months of Trastuzumab follow-up (*) therapy 4 Functional Patient was alive and free neck of disease at 2 years of dissection+ control adjuvant radiotherapy 5 Palliative Patient died 1 month chemotherapy after diagnosis 6 En-bloc tumor Patient was alive and free resection with of disease at 18 months radical neck of control dissection+ trastuzumab therapy 7 Total Patient was still alive at laryngectomy 20 months of follow-up.
The tongue is a key organ, being involved in nutrition and speech, and, as such, it requires a thorough approach in restoring its function after glossectomy
. Total glossectomy
is defined by the complete resection of the tongue, sub-total glossectomy
by the removal of more than 2/3, and hemi-glossectomy the resection of half of the tongue or less [1, 3, 4].
Coronal view ultrasound imaging of movement in different segments of the tongue during paced recital: Findings from four normal speakers and a speaker with partial glossectomy
. Clin Linguist Phon.
The surgery took nine hours to do radical glossectomy
, right neck dissection and left radial forearm free flap, he disclosed.
A 65-year-old male with squamous cell carcinoma of the base of tongue status post total laryngectomy, subtotal glossectomy
, and bilateral neck dissection underwent surgical jejunostomy placement for enteral nutrition and separate percutaneous gastrostomy placement for decompression of gastric outlet obstruction.
Murata et al., "Clinical evaluation of application of polyglycolic acid sheet and fibrin glue spray for partial glossectomy
," Journal of Oral and Maxillofacial Surgery, vol.
The patient was scheduled for a posterior midline glossectomy
but was lost to follow-up.
Surgical excision of nodules would require partial or total glossectomy
due to tongue vascularization.
In June 2012 he underwent a subtotal glossectomy
which involved removing 90% of his tongue.