Abstract
Cancer of the tongue forms more than 50% of oral cavity cancers. Generally, patients come with locally advanced tongue cancer. The treatment for this cancer is multi-modality. For resectable cancer, multiple surgical approaches are described in the literature. Mandibulotomy for resection of the middle and posterior third oral cancer is a well-established technique but it has its attended morbidity. We present our results of a new surgical technique, called the Peroral and submandibular cervical surgical approach wherein tongue cancer of middle third and posterior third is resected without mandibulotomy. The advantages of this technique are that the complications of malunion or non-union of bone are avoided, no chances of osteoradionecrosis or osteomyelitis, no need of periosteal elevation or damage, the malignancy is removed with wide margin with minimal blood loss, there is no scar on face or chin, morbidity of surgery is minimal. Also, the technique is easily reproducible.
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References
Moore SR, Johnson NW, Pierce AM, Wilson DF (2000) The epidemiology of mouth cancer: a review of global incidence. Oral Dis 6:65–74
Marur S, Forastiere AA (2016) Head and neck squamous cell carcinoma: update on epidemiology, diagnosis, and treatment. Mayo Clin Proc 91(3):386–396. https://doi.org/10.1016/j.mayocp.2015.12.017
Bailey H, McN Love (eds) (2004) Short practice of surgery, 24th edn. Hodder Arnold, London, pp 702–717
Shah JP, Patel SG (eds) (2003) Head and neck surgery and oncology. Elsevier, New York, pp 195–199
Shah JP (2007) Surgical approaches to the oral cavity primary and neck. Int J Radiat Oncol Biol Phys 69(2 Suppl):S15–S18. https://doi.org/10.1016/j.ijrobp.2007.03.069
Mercante G, Ruscito P, Pellini R, Cristalli G, Spriano G (2013) Transoral robotic surgery (TORS) for tongue base tumours. Acta Otorhinolaryngol Ital 33(4):230–235
Sinha P, Hackman T, Nussenbaum B, Wu N, Lewis JS Jr, Haughey BH (2014) Transoral laser microsurgery for oral squamous cell carcinoma: oncologic outcomes and prognostic factors. Head Neck 36(3):340–351. https://doi.org/10.1002/hed.23293
Stringer SP, Jordan JR, Mendenhall WM, Parsons JT, Cassisi NJ, Million RR (1992) Mandibular lingual releasing approach. Otolaryngol Head Neck Surg 107(3):395–398. https://doi.org/10.1177/019459989210700309
Calabrese L, Giugliano G, Bruschini R, Ansarin M, Navach V, Grosso E, Gibelli B, Ostuni A, Chiesa F (2009) Compartmental surgery in tongue tumours: description of a new surgical technique. Acta Otorhinolaryngol Ital 29(5):259–264
Brown J, Chatterjee R, Lowe D, Lewis-Jones H, Rogers S, Vaughan D (2005) A new guide to mandibular resection for oral squamous cell carcinoma based on the Cawood and Howell classification of the mandible. Int J Oral Maxillofac Surg 34(8):834–839. https://doi.org/10.1016/j.ijom.2005.04.010
Cilento BW, Izzard M, Weymuller EA, Futran N (2007) Comparison of approaches for oral cavity cancer resection: lip-split versus visor flap. Otolaryngol Head Neck Surg 137(3):428–432. https://doi.org/10.1016/j.otohns.2007.05.006
Davidson J, Freeman J, Birt D (1989) Mandibulotomy in the irradiated patient. Arch Otolaryngol Head Neck Surg 115(4):497–499. https://doi.org/10.1001/archotol.1989.01860280095024
DeSanto LW, Whicker JH, Devine KD (1975) Mandibular osteotomy and lingual flaps: use in patients with cancer of the tonsil area and tongue base. Arch Otolaryngol 101(11):652–655. https://doi.org/10.1001/archotol.1975.00780400010003
Stanley RB (1984) Mandibular lingual releasing approach to oral and oropharyngeal carcinomas. Laryngoscope 94(5):596–600
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NK: Devised a new technique of surgery for middle third tongue cancer, participated in the conception and design of the manuscript, drafting of manuscript and literature search, final editing of the manuscript, PK: Participated in the drafting of manuscript and literature search, JSB: Participated in the drafting of manuscript and literature search, TO: Participated in the conception and design of manuscript.
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Nitin Khunteta, Prakhar Katta, Jaspreet Badwal, Tarun Ojha declare that they have no conflict of interest.
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Khunteta, N., Katta, P., Badwal, J.S. et al. The Mandible Sparing “POSC Technique” for Management of Middle and Posterior Third Tongue Cancers. Indian J Otolaryngol Head Neck Surg 73, 252–256 (2021). https://doi.org/10.1007/s12070-021-02535-7
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DOI: https://doi.org/10.1007/s12070-021-02535-7