Anatomically-based transoral surgical approach to early-stage oral tongue squamous cell carcinoma

L. Calabrese, G. Pietrobon, E. Fazio, M. Abousiam, S. Awny, R. Bruschini, R. Accorona

Research output: Contribution to journalArticlepeer-review


The mainstream of treatment of early-stage oral tongue squamous cell carcinoma (OTSCC) is represented by transoral resection with “adequate” free margins. Despite that, a precise and shared definition of “adequate margin” is lacking, and so is a standardized transoral surgical technique.The tongue is a symmetrically paired organ, consisting of intertwining intrinsic and extrinsic muscles, which can be distinguished during dissection. Routes of tumoral spread in oral tongue cancer are well-known and should be taken into account during resection. We propose herein a standardized and replicable surgical technique to resect early-stage OTSCC, based on rational anatomical considerations.

Original languageEnglish
Pages (from-to)1105-1109
Number of pages5
JournalHead and Neck
Issue number5
Publication statusPublished - 2020


  • early-stage oral tongue carcinoma
  • glossectomy
  • oral cavity cancer
  • tongue muscles
  • transoral approach
  • Article
  • cancer staging
  • early cancer
  • endoscopic surgery
  • frozen section
  • human
  • incision
  • lingual artery
  • lingual nerve
  • mouth cavity
  • mouth floor
  • mouth mucosa
  • oral surgery
  • priority journal
  • sublingual gland
  • surgical approach
  • surgical margin
  • surgical technique
  • tongue carcinoma
  • transoral resection
  • wedge resection
  • wide excision


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