Epiglottis
Ultrasonic Surgical Procedures
Oral Surgical Procedures
Neck Dissection
The difference between delayed extubation and tracheostomy in post-operative sleep apnea after glossectomy or laryngectomy. (1/24)
BACKGROUND: Patients with cancer of the tongue or larynx require glossectomies or laryngectomies and subsequent reconstruction. These procedures remove part of the patient's upper airway. In cancer of the tongue, the removed part of the airway is substituted by a flap of their skin. Post-operatively, it is possible that the patients have problems respiring comfortably. In addition to this, long surgical procedures may simply interfere with their circadian rhythm. To elucidate the possible change in their post-operative respiration, we monitored the patient's respiratory pattern with an apnea monitor. METHODS: We attached an apnea monitor to the patients and recorded their respiratory pattern and arterial oxygen saturation. The patients were monitored for a total of five days: three days prior to the operation, one day before the operation, the day of operation, two days after, and on the fourth day after the operation. The period of monitoring was from 8:00 p.m. to 6:00 a.m. the next morning. RESULTS: Sixteen patients completed this study. The patients whose tube was extubated after glossectomy showed frequent apnea, low mean oxygen saturation and low comfort score as compared to the patients with tracheostomy after laryngectomy. Because two failed cases of free skin flap were among the former, it is possible that the frequent apnea is a factor of failed free skin graft after glossectomy and laryngectomy. CONCLUSION: Further studies are required to improve the patient's respiration during their sleep after tracheal extubation in glossectomy. (+info)Intraoperative spasm of coronary and peripheral artery--a case occurring after tourniquet deflation during sevoflurane anesthesia. (2/24)
A 68-yr-old man with a 9-yr history of hypertension presented for hemiglossectomy, segmental resection of the mandible, and the radial forearm free flap grafting. Intraoperatively, facial artery spasm was observed during microvascular suturing of the radial artery to the facial artery. Simultaneously, systolic blood pressure decreased from 100 to 80 torr and the ST segment elevated to 15 mm from the base line. The possible mechanisms responsible for vasospasm in coronary as well as in peripheral arteries under sevoflurane anesthesia are discussed. (+info)Masticatory efficiency before and after surgery in oral cancer patients: comparative study of glossectomy, marginal mandibulectomy and segmental mandibulectomy. (3/24)
This study evaluated the effect of oral cancer surgery on masticatory efficiency. Masticatory efficiency was measured using the ATP absorption method. Eating ability was measured using a questionnaire. Two groups were employed as controls: The "normal occlusion group" consisted of subjects who had a complete set of natural maxillary teeth opposed to mandibular teeth, and the "unilateral occlusion group" consisted of subjects who had lost their molar and premolar teeth on one side of the mandible as a result of caries or periodontal diseases. Three treatment groups, each of 6 patients, were studied: a glossectomy group, a marginal mandibulectomy group and a segmental mandibulectomy group. There were no differences in masticatory efficiency between two control groups. Masticatory efficiencies of the three oral cancer treatment groups were lower than in the unilateral occlusion group, even 12 months after surgery. Masticatory efficiency of the glossectomy group was significantly higher 12 months after surgery compared with pre-surgery. Masticatory and eating abilities of the marginal mandibulectomy group and the segmental mandibulectomy were reduced at 3 and 6 months after surgery. The masticatory efficiency 12 months after surgery was higher in the marginal mandibulectomy group than the segmental mandibulectomy group, although the difference was not statistically significant. The self assessed eating ability 12 months after surgery was significantly higher in the marginal mandibulectomy group than the segmental mandibulectomy group. These results suggest that discontinuation of the mandible may lead patients to eat only foods that do not require a substantial amount of chewing. Hence, the quality of life of patients in the marginal mandibulectomy group was considered to be better than that in the segmental mandibulectomy group. (+info)Group A beta-hemolytic streptococcal glossal necrotizing myositis--case report and review. (4/24)
We report the first case of glossal necrotizing myositis by group A beta-hemolytic Streptococcus in an 8-year-old girl on chronic nonsteroidal anti-inflammatory drugs, immunomodulators, and steroids for juvenile rheumatoid arthritis. Treatment included partial glossectomy and parenteral antibiotics. After a critical course, full recovery ensued. The subject of necrotizing myositis is reviewed. (+info)Is glossectomy necessary for late nodal metastases without clinical local recurrence after initial brachytherapy for N0 tongue cancer? A retrospective experience in 111 patients who received salvage therapy for cervical failure. (5/24)
PURPOSE: To assess the efficacy of neck dissection (ND) without glossectomy (GL) for late nodal metastases without local recurrence after brachytherapy for N0 tongue cancer. MATERIALS AND METHODS: Among 396 patients with N0 tongue cancer treated with brachytherapy, a retrospective analysis was performed in 111 patients who were clinically diagnosed as having nodal metastases without local recurrence and whose neck lymph nodes turned out to be pathologically positive after salvage surgery. One hundred and five patients had undergone only ND (the ND group), six patients had undergone ND with GL (the ND+GL group). RESULTS: The 5 year disease-free and cause-specific survival rates after salvage therapy for the 111 patients included in this study were 58.1 and 61.9%, respectively. In the ND group, there were only nine patients who had local recurrence after ND. In addition, only six patients (5.7%) had a local recurrence within 2 years in the ND group. Sixty-three patients were free of disease after ND, 31 patients had regional or distant metastases without local recurrence and two patients had progressive disease at ND. In the ND+GL group, four patients were alive without disease and two died from regional or distant metastases. None of the patients in the ND+GL group were found to have malignant tissue in the pathological findings from the excised tongue. CONCLUSION: GL should be avoided or suspended when the clinical evaluation had revealed cervical failure without apparent local recurrence in the mobile tongue cancer patients after initial brachytherapy. (+info)Effect of mandibular nerve block on postoperative analgesia in patients undergoing oropharyngeal carcinoma surgery under general anaesthesia. (6/24)
BACKGROUND: Postoperative analgesia after oropharyngeal carcinoma surgery remains poorly studied. This study investigates the effects of mandibular nerve block (MNB) with ropivacaine 10 mg ml(-1) in conjunction with general anaesthesia (GA) on postoperative analgesia after partial glossectomy or transmandibular lateral pharyngectomy. METHODS: In a randomized double-blind study, 42 patients (21 in each group) received an MNB by the lateral extra-oral approach (MNB group) or a deep s.c. injection of normal saline (control group). Both groups received a standardized general anaesthetic. Postoperative analgesia included fixed dose of i.v. acetaminophen and morphine via a patient-controlled analgesia device. Consumption of morphine and supplemental analgesics and pain scores at rest were measured. RESULTS: The mean cumulative morphine consumption was reduced by 56 and 45% at 12 and 24 h after operation in the MNB group. The administration of analgesic rescue medications was delayed in the MNB group. The visual analogue scale (VAS) pain scores were comparable in the two groups during the first 24 h. Adequate analgesia (mean VAS < or = 3) was observed throughout the study period in the MNB group, but only from 4 h after operation onwards in the control group. The number of patients who experienced severe pain (VAS > 7) during the first postoperative day was lower in the MNB group than in the control group (3 vs 10. respectively, P < 0.05). CONCLUSIONS: In this study, MNB performed before GA for oropharyngeal carcinoma surgery improved postoperative analgesia, resulting in reduced morphine consumption at 24 h and severe pain in fewer patients. (+info)Simultaneous off-pump coronary artery bypass graft surgery and wide glossectomy. (7/24)
Patients suffering with significant coronary artery disease undergoing elective noncardiac surgery may benefit by revascularisation prior to noncardiac surgery with high or intermediate risks. Alternatively, combined procedures can be performed. We describe the management of an anaesthetic patient suffering with significant coronary artery disease with left ventricular dysfunction and tumour of the tongue causing difficult intubation. (+info)Effects of tongue volume reduction on craniofacial growth: A longitudinal study on orofacial skeletons and dental arches. (8/24)
(+info)Tongue neoplasms refer to abnormal growths or tumors that develop in the tongue tissue. These growths can be benign (non-cancerous) or malignant (cancerous).
Benign tongue neoplasms may include entities such as papillomas, fibromas, or granular cell tumors. They are typically slow growing and less likely to spread to other parts of the body.
Malignant tongue neoplasms, on the other hand, are cancers that can invade surrounding tissues and spread to other parts of the body. The most common type of malignant tongue neoplasm is squamous cell carcinoma, which arises from the thin, flat cells (squamous cells) that line the surface of the tongue.
Tongue neoplasms can cause various symptoms such as a lump or thickening on the tongue, pain or burning sensation in the mouth, difficulty swallowing or speaking, and unexplained bleeding from the mouth. Early detection and treatment are crucial for improving outcomes and preventing complications.
Glossectomy is a surgical procedure that involves the partial or total removal of the tongue. This type of surgery may be performed for various reasons, such as treating certain types of cancer (like oral or tongue cancer) that have not responded to other forms of treatment, or removing a portion of the tongue that's severely damaged or injured due to trauma.
The extent of the glossectomy depends on the size and location of the tumor or lesion. A partial glossectomy refers to the removal of a part of the tongue, while a total glossectomy involves the complete excision of the tongue. In some cases, reconstructive surgery may be performed to help restore speech and swallowing functions after the procedure.
It is essential to note that a glossectomy can significantly impact a patient's quality of life, as the tongue plays crucial roles in speaking, swallowing, and taste sensation. Therefore, multidisciplinary care involving speech therapists, dietitians, and other healthcare professionals is often necessary to help patients adapt to their new conditions and optimize their recovery process.
The epiglottis is a flap-like structure located at the base of the tongue, near the back of the throat (pharynx). It is made of elastic cartilage and covered with mucous membrane. The primary function of the epiglottis is to protect the trachea (windpipe) from food or liquids entering it during swallowing.
During normal swallowing, the epiglottis closes over the opening of the larynx (voice box), redirecting the food or liquid bolus into the esophagus. In this way, the epiglottis prevents aspiration, which is the entry of foreign materials into the trachea and lungs.
Inflammation or infection of the epiglottis can lead to a serious medical condition called epiglottitis, characterized by swelling, redness, and pain in the epiglottis and surrounding tissues. Epiglottitis can cause difficulty breathing, speaking, and swallowing, and requires immediate medical attention.
Ultrasonic surgical procedures, also known as ultrasonic surgery or ultrasonically activated device (USD) surgery, refer to the use of high-frequency sound waves in surgical applications. These procedures typically involve the use of specialized tools called ultrasonic dissectors or harmonic scalpels that cut and coagulate tissue using ultrasonic vibrations.
The ultrasonic dissector consists of a handpiece with a thin, vibrating blade that moves at a frequency of approximately 55,000 Hz. This rapid motion generates friction and heat, which allows the blade to cut through tissue while simultaneously sealing blood vessels up to 3-4 mm in diameter. The harmonic scalpel works on a similar principle but uses a different mechanism for coagulation. It produces a high-frequency vibration that causes the tissue to vibrate, leading to cavitation and the generation of heat. This heat is responsible for sealing blood vessels and cutting through tissues.
Ultrasonic surgical procedures offer several advantages over traditional surgical methods, including reduced blood loss, less thermal damage to surrounding tissues, and potentially shorter recovery times. They are commonly used in various surgical fields, such as general surgery, gynecology, urology, and orthopedics.
Oral surgical procedures refer to various types of surgeries performed in the oral cavity and maxillofacial region, which includes the mouth, jaws, face, and skull. These procedures are typically performed by oral and maxillofacial surgeons, who are dental specialists with extensive training in surgical procedures involving the mouth, jaws, and face.
Some common examples of oral surgical procedures include:
1. Tooth extractions: This involves removing a tooth that is damaged beyond repair or causing problems for the surrounding teeth. Wisdom tooth removal is a common type of tooth extraction.
2. Dental implant placement: This procedure involves placing a small titanium post in the jawbone to serve as a replacement root for a missing tooth. A dental crown is then attached to the implant, creating a natural-looking and functional replacement tooth.
3. Jaw surgery: Also known as orthognathic surgery, this procedure involves repositioning the jaws to correct bite problems or facial asymmetry.
4. Biopsy: This procedure involves removing a small sample of tissue from the oral cavity for laboratory analysis, often to diagnose suspicious lesions or growths.
5. Lesion removal: This procedure involves removing benign or malignant growths from the oral cavity, such as tumors or cysts.
6. Temporomandibular joint (TMJ) surgery: This procedure involves treating disorders of the TMJ, which connects the jawbone to the skull and allows for movement when eating, speaking, and yawning.
7. Facial reconstruction: This procedure involves rebuilding or reshaping the facial bones after trauma, cancer surgery, or other conditions that affect the face.
Overall, oral surgical procedures are an important part of dental and medical care, helping to diagnose and treat a wide range of conditions affecting the mouth, jaws, and face.
Neck dissection is a surgical procedure that involves the removal of lymph nodes and other tissues from the neck. It is typically performed as part of cancer treatment, particularly in cases of head and neck cancer, to help determine the stage of the cancer, prevent the spread of cancer, or treat existing metastases. There are several types of neck dissections, including radical, modified radical, and selective neck dissection, which vary based on the extent of tissue removal. The specific type of neck dissection performed depends on the location and extent of the cancer.
Surgical instruments are specialized tools or devices that are used by medical professionals during surgical procedures to assist in various tasks such as cutting, dissecting, grasping, holding, retracting, clamping, and suturing body tissues. These instruments are designed to be safe, precise, and effective, with a variety of shapes, sizes, and materials used depending on the specific surgical application. Some common examples of surgical instruments include scalpels, forceps, scissors, hemostats, retractors, and needle holders. Proper sterilization and maintenance of these instruments are crucial to ensure patient safety and prevent infection.
Glossectomy
Madge Skelly
Open bite malocclusion
Oral and maxillofacial pathology
List of -ectomies
Macroglossia
Commando Operation
Rhinotomy
Walter Whitehead
Amputation
Augmentative and alternative communication
Letter board
Head and neck cancer
Otorhinolaryngology
Index of oncology articles
List of MeSH codes (E04)
List of MeSH codes (E06)
ICD-9-CM Volume 3
Glossectomy - Wikipedia
Recovery of speech following total glossectomy: An acoustic and perceptual appraisal - Fingerprint - Penn State
Why a Glossectomy Might Save Your Life
ICG Angiography for Assessing Tongue Viability after Glossectomy
Surgery for Sleep Apnea: Procedures, Success Rate, and Risks
MBS Online - G
Oral Cancer Surgery: Mouth, Tongue & Jaw Cancer Surgeries
Surgery for sleep apnea: Types, risks, and outlook
Malignant Tumors of the Mobile Tongue: Practice Essentials, Epidemiology, Etiology
Augmentative and Alternative Communication
Lainie P. Martin, MD profile | PennMedicine.org
Free Medical Flashcards about Chapter 2 & 3
Atlas of Oral and Maxillofacial Surgery - Elsevier E-Book on VitalSource, 2nd Edition - 9780323789653
Latorre MR[au] - Search Results - PubMed
Amputation - Wikipedia
Soft palate cancer - Doctors and departments - Mayo Clinic
Ultrasound Evaluation of Tongue Movements in Speech and Swallowing
Unapproved healthcare services | Southern Cross Health Insurance
Appointment | SingHealth Duke-NUS Head and Neck Centre
Malignant Tumors of the Mobile Tongue: Practice Essentials, Epidemiology, Etiology
Random versus Meaningful Selections on AAC Devices - How to tell the difference
SciELO - Audiology - Communication Research, Volume: 26, Published: 2021
I'm Back and so is cancer - Cancer Survivors Network
Snoring - Conditions & Treatments | SingHealth
Partial5
- A PARTIAL glossectomy is any tongue surgery that removes less than half of the tongue. (dental-advice.info)
- When a tumor is very small, tongue cancer surgery may be limited to a partial glossectomy. (cancercenter.com)
- 3] As a myocutaneous flap, it is particularly suitable for reconstructing partial and total glossectomy defects (see the image below). (medscape.com)
- So just day before yesterday 6/21/18 I had a partial tongue glossectomy. (cancer.org)
- 6 weeks later when I went in for a partial glossectomy it had gone. (macmillan.org.uk)
Reconstruction4
- The objective of this video article was to provide a detailed description of the steps involved in utilizing ICG angiography for assessing recipient site perfusion after glossectomy with the primary goal of minimizing wound healing complications, especially when performing free flap reconstruction. (diagnosticgreen.com)
- This flap is most commonly used for glossectomy defects, orbital/maxillary defects, and (as a muscle-only flap) skull base reconstruction. (medscape.com)
- The rectus flap provides excellent reconstruction of total glossectomy defects. (medscape.com)
- After the biopsy confirmed squamous cell carcinoma, he underwent subtotal left glossectomy, bilateral radical neck dissection, tracheotomy, and radical forearm free flap reconstruction. (aafp.org)
Midline1
- A midline glossectomy is a surgical reduction of the size of the base of the tongue (posterior tongue), sometimes used to treat sleep apnea. (wikipedia.org)
Tumor2
- If you are told that you need to have a glossectomy due to a tumor, it's perfectly normal to be shocked and frightened at first. (dental-advice.info)
- The type of glossectomy performed to remove cancers of the tongue may depend in part on the size of the tumor. (cancercenter.com)
Surgery1
- You should talk with your doctor before having any surgery, and ask about the side effects of the type of glossectomy you have been recommended. (dental-advice.info)
Surgical removal1
- A glossectomy is the surgical removal of all or part of the tongue. (wikipedia.org)
Total2
- If you need a total glossectomy, (more than 50% of your tongue) your surgeon will surgically reconstruct your tongue. (dental-advice.info)
- Larger tumors may require a full or total glossectomy-removal of the entire tongue. (cancercenter.com)
Speech1
- Fangxu Xing presented "MRI Analysis of 3D normal and Post-glossectomy Tongue Motion in Speech" . (jhu.edu)
Total glossectomy14
- 21. [Total glossectomy without laryngectomy. (nih.gov)
- 24. Total glossectomy. (nih.gov)
- 26. Postoperative complications and functional results after total glossectomy with microvascular reconstruction. (nih.gov)
- 27. Functional outcomes and complications of total glossectomy with laryngeal preservation and flap reconstruction: A systematic review and meta-analysis. (nih.gov)
- 28. Total glossectomy: is it justified? (nih.gov)
- 31. The management of advanced carcinoma of the tongue by total glossectomy without laryngectomy. (nih.gov)
- 32. Total glossectomy: reconstruction and rehabilitation. (nih.gov)
- 33. Total glossectomy without laryngectomy as first-line or salvage therapy. (nih.gov)
- 34. [Total glossectomy with laryngectomy]. (nih.gov)
- 35. [Total glossectomy with preservation of the larynx and immediate reconstruction. (nih.gov)
- 37. Quality of life and decisional regret after total glossectomy with laryngectomy: A single-institution case series. (nih.gov)
- Management by total glossectomy without laryngectomy. (nih.gov)
- 40. Total glossectomy with laryngeal preservation. (nih.gov)
- I will be having a total glossectomy Sept 5, followed by radiation. (cancer.org)
Laryngectomy1
- 30. Functional restoration after subtotal glossectomy and laryngectomy. (nih.gov)
Reconstruction2
- Use of Extended Lateral Upper Arm Free Flap for Tongue Reconstruction After Radical Glossectomy for Tongue Cancer. (bvsalud.org)
- 29. Reconstruction after total or subtotal glossectomy. (nih.gov)
Surgical2
- A glossectomy is the surgical removal of all or part of the tongue. (wikipedia.org)
- This may be a surgical glossectomy or somnoplasty. (longislandgeneraldentist.com)
Macroglossia3
- Reduction Glossectomy for Macroglossia in Beckwith-Wiedemann Syndrome: Is Post-Op Intubation Necessary? (nih.gov)
- Macroglossia is a characteristic feature of Beckwith-Wiedemann syndrome (BWS), commonly treated with reduction glossectomy to restore form and function. (nih.gov)
- macroglossia, glossectomy, corrective orthodontics. (arquivosdeorl.org.br)
Evaluation1
- The authors also address the clinical evaluation, surgeries and reconstructions, post-operative course, and prognosis of patients undergoing glossectomy. (medscape.com)
Patients1
- The findings are used to understand how tongue function for speech is limited by abnormal internal motion and strain in glossectomy patients. (arxiv.org)