HemiglossectomyMedical editor Per Aspelien MD
Oslo University Hospital
If tumor is located on the tongue, a tongue resection may be necessary. Depending on the size of the tumor, a partial resection or hemiglossectomy is performed. This means that parts or half of the tongue are resected.
If the mandible cannot be covered with primary sutures of mucosa, a nasolabial flap is used for coverage. This means that skin and subcutaneous tissue flap is dissected from underlying facial muscles (1). A hole is made in the cheek to the mouth and the skin flap is pulled through and sutured to the edges of the mucosa .
1. Reference: Rökenes HK, Bretteville G, Lövdal O, Boysen M. The nasolabial skinflap in intraoral reconstruction. ORL J Otorhinolaryngol Realt Spec 1991; 53 (6): 346-8
- Large basic tray (nr. 9)
- Bent Colorado blades
- Mouth block
- The surgery is performed under general anesthesia.
- The patient lies in a supine position.
- With a diathermy needle, about a 1 cm margin is marked around the tumor.
- Xylocain® with adrenaline is given.
- The affected area of the tongue is resected and possibly some of the floor of the mouth.
- The resection border is inspected for remaining tumor tissue.
- If there are suspect areas, a frozen section is made.
- If the mandible is exposed, it is covered. A nasolabial flap may be used.
- The wound is usually left open for granulation. It may possibly be closed with widely spaced sutures.
- The surgeon will attempt to preserve the lingual and hypoglossal nerves.
- Larger arteries are ligated.
- The specimen is oriented for a histological evaluation.
A tube is inserted as needed.
If a nasolabial flap is made, the patient will have a feeding tube for a few weeks until the flap has healed to the edge of the mucosa and bone. The flap is then docked after about 3 weeks.
The patient will have a follow-up visit with the surgeon after a few weeks.