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Journals / Kulak Burun Boğaz İhtisas Dergisi / 2003 / Cilt: 10 - Sayı: 1

Evaluation of the combined suprahyoid-transoral approach to the tongue base tumors

Dil kökü kanserlerinde kombine suprahiyoid-transoral yaklaşım

Emre ÜSTÜNDAĞ
Ömer AYDIN
Altay ATEŞPARE
Gürkan KESKİN
Pages
13–17
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Functional results obtained through the combined suprahyoid-transoral approach justify its use in the treatment of T-1 or T2 tongue base carcinomas.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: To evaluate the efficacy and functional results of the combined suprahyoid-transoral approach in early-stage tongue base cancers.
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Key Findings & Data:Patients and Methods: Five patients (4 females, 1 male; mean age 47 years; range 12 to 65 years) with tongue base tumors undervvent surgery via the com-bined suprahyoid-transoral approach.
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Conclusion & Impact:Conclusion: Functional results obtained through the combined suprahyoid-transoral approach justify its use in the treatment of T-1 or T2 tongue base carcinomas.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Dil neoplazmları · Ameliyat sonrası dönem · Karsinom

Abstract

Objectives: To evaluate the efficacy and functional results of the combined suprahyoid-transoral approach in early-stage tongue base cancers. Patients and Methods: Five patients (4 females, 1 male; mean age 47 years; range 12 to 65 years) with tongue base tumors undervvent surgery via the com-bined suprahyoid-transoral approach. Diagnoses were adenoid cystic carcinoma in three patients and squa-mous celi carcinoma in two patients. The mean follow-up period was 32.4 months (range 10 to 54 months). Results: One patient with adenoid cystic carcinoma and two patients with squamous celi carcinoma required neck dissection. Postoperative radiotherapy was administered to two patients with squamous celi carcinoma. Tracheotomy was performed in all cases during surgery. AH patients were safely decannulated within a mean of 11.4 days (range 9 to 14 days) and converted to oral feeding within a mean of 8.6 days (range 7 to 11 days) with no aspiration problem. AH patients had negative surgical margins. AH patients had satisfactory phonation. No local or regional recurrences developed during the follow-up period. Conclusion: Functional results obtained through the combined suprahyoid-transoral approach justify its use in the treatment of T-1 or T2 tongue base carcinomas.

Özet

Amaç: Erken evreli dil kökü kanserlerinde kombine suprahiyoid-transoral yaklaşımın etkinliğini ve fonk-siyonel sonuçlarını değerlendirmek. Hastalar ve Yöntemler: Dil kökü kanseri tanısı konan beş hasta (4 kadın, 1 erkek; ört. yaş 47; dağılım 12-65) kombine suprahiyoid-transoral yaklaşım ile ameliyat edildi. Patolojik tanı üç olguda adenoid kistik karsinom, iki olguda yassı epitel hücreli karsinom şeklindeydi. İzlem süresi ortalama 32.4 ay (dağılım 10-54 ay) idi. Bulgular: Adenoid kistik karsinomlu bir olguda, yassı epitel hücreli karsinomlu iki olguda boyun diseksi-yonu yapıldı. Yassı epitel hücreli karsinomlu iki olguya ameliyat sonrasında radyoterapi uygulandı. Ameliyat sırasında tüm olgularda trakeotomi açıldı. Tüm olgular ameliyat sonrası ortalama 11.4 günde (dağılım 9-14 gün) dekanüle edildi; ağızdan beslenmeye ortalama 8.6 günde (dağılım 7-11 gün) başlandı ve hiçbirinde aspirasyon olmadı. Cerrahi sınırlar tüm ol-gularda temiz bulundu. Tüm olgularda akıcı ve anlaşılabilir konuşma elde edildi. Takip süresi boyunca lokal veya bölgesel nüks görülmedi. Sonuç: T-1 veya T2 dil kökü karsinomlarının cerrahi tedavisinde kombine suprahiyoid-transoral yaklaşımın fonksiyonel sonuçları başarılı bulundu.

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Cite This Article

ÜSTÜNDAĞ, E., AYDIN, Ö., ATEŞPARE, A., KESKİN, G. (2003). Evaluation of the combined suprahyoid-transoral approach to the tongue base tumors. Kulak Burun Boğaz İhtisas Dergisi, Cilt: 10 - Sayı: 1, 13–17. https://ajindex.com/articles/343176

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References (14)

  1. Civantos F, Wenig BL. Transhyoid resection of tongue base and tonsil tumors. Otolaryngol Head Neck Surg 1994;111:59-62
  2. Nasri S, Oh Y, Calcaterra TC. Transpharyngeal approach to base of tongue tumors: a comparative study. Laryngoscope 1996;106:945-50
  3. Marchetta FC, Sako K, Murphy JB. The periosteum of the mandible and intraoral carcinoma. Am J Surg 1971; 122:711-3
  4. Eisen MD, Weinstein GS, Chalian A, Machtay M, Kent K, Coia LR, et al. Morbidity after midline mandibulotomy and radiation therapy. Am J Otolaryngol 2000;21:312-7
  5. Agrawal A, Wenig BL. Resection of cancer of the tongue base and tonsil via the transhyoid approach. Laryngoscope 2000;110:1802-6
  6. Alperin KM, Levine HL, Wood BG, Tucker HM. Approach to and reconstruction for lesions of the posterior third of the tongue via midline labiomandibular glossotomy. Head Neck Surg 1984;6:744-50
  7. Weber PC, Johnson JT, Myers EN. The suprahyoid approach for squamous cell carcinoma of the base of the tongue. Laryngoscope 1992;102:637-40
  8. Moore DM, Calcaterra TC. Cancer of the tongue base treated by a transpharyngeal approach. Ann Otol Rhinol Laryngol 1990;99(4 Pt l):300-3
  9. Zeitels SM, Vaughan CW, Ruh S. Suprahyoid pharyngo-tomy for oropharynx cancer including the tongue base. Arch Otolaryngol Head Neck Surg 1991;117:757-60
  10. Weber PC, Myers EN, Johnson JT. Squamous cell carcinoma of the base of tongue. Eur Arch Otorhinolaryngol 1993;250:63-8
  11. Kraus DH, Vastola AP, Huvos AG, Spiro RH. Surgical management of squamous cell carcinoma of the base of the tongue. Am J Surg 1993;166:384-8
  12. Goldenberg D, Ardekian L, Rachmiel A, Peled M, Joachims HZ, Laufer D. Carcinoma of the dorsum of the tongue. Head Neck 2000;22:190-4
  13. Imamoglu M, Işik AU, Bahadir O, Muhtar H. Surgical treatment of oral cavity cancers. [Article in Turkish] Kulak Burun Boğaz Ihtis Derg 1999;6:203-5
  14. Başerer N, Cavanşir B, Kıyak E, Hafız G, Mirata D, Üstündağ E. Dil kökü ve orofarenks tümörlerinde Set-Back tekniği ile rekonstrüksiyon. Kulak Burun Boğaz Ihtis Derg l992;l:6-10.