Abstract
Purpose of Review: Surgical approaches to tongue cancer have not changed substantially over the years. The literature proposes some indications for tumor excision even though type of intervention, resection margins, neck dissection, and 'en bloc' resection versus separate excision of tumor and lymph nodes do not seem to be standardized. The purpose of this review is to describe the evolution of surgical management of tongue carcinoma with particular attention to recent reports focusing on compartmental tongue surgery. Recent Findings: The current literature usually describes resection of tongue carcinoma within wide disease-free margins, ranging from 1.5 to 2cm. In case of advanced-stage tumors, performing concomitant neck dissection is recommended; otherwise, a deferred neck dissection is indicated if depth of neoplastic infiltration exceeds 4mm. In recent years, a new technical approach has been formulated based on anatomy of the tongue, thus, introducing the concept of an anatomy-based, function sparing, compartmental surgery. Summary: Applying such a proposal to clinical practice aims at standardizing a surgical procedure that otherwise might be arbitrary. Compartmental surgery improves overall survival, does not seem to worsen functional outcomes of the residual tongue, and allows comparison of case studies.
| Original language | English |
|---|---|
| Pages (from-to) | 112-117 |
| Number of pages | 6 |
| Journal | Current Opinion in Otolaryngology and Head and Neck Surgery |
| Volume | 21 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Apr 2013 |
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Keywords
- compartmental surgery
- oral cavity carcinoma
- tongue carcinoma
ASJC Scopus subject areas
- Otorhinolaryngology
- Surgery
Cite this
From wide excision to a compartmental approach in tongue tumors : What is going on? / Calabrese, Luca; Tagliabue, Marta; Maffini, Fausto; Massaro, Maria Angela; Santoro, Luigi.
In: Current Opinion in Otolaryngology and Head and Neck Surgery, Vol. 21, No. 2, 04.2013, p. 112-117.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - From wide excision to a compartmental approach in tongue tumors
T2 - What is going on?
AU - Calabrese, Luca
AU - Tagliabue, Marta
AU - Maffini, Fausto
AU - Massaro, Maria Angela
AU - Santoro, Luigi
PY - 2013/4
Y1 - 2013/4
N2 - Purpose of Review: Surgical approaches to tongue cancer have not changed substantially over the years. The literature proposes some indications for tumor excision even though type of intervention, resection margins, neck dissection, and 'en bloc' resection versus separate excision of tumor and lymph nodes do not seem to be standardized. The purpose of this review is to describe the evolution of surgical management of tongue carcinoma with particular attention to recent reports focusing on compartmental tongue surgery. Recent Findings: The current literature usually describes resection of tongue carcinoma within wide disease-free margins, ranging from 1.5 to 2cm. In case of advanced-stage tumors, performing concomitant neck dissection is recommended; otherwise, a deferred neck dissection is indicated if depth of neoplastic infiltration exceeds 4mm. In recent years, a new technical approach has been formulated based on anatomy of the tongue, thus, introducing the concept of an anatomy-based, function sparing, compartmental surgery. Summary: Applying such a proposal to clinical practice aims at standardizing a surgical procedure that otherwise might be arbitrary. Compartmental surgery improves overall survival, does not seem to worsen functional outcomes of the residual tongue, and allows comparison of case studies.
AB - Purpose of Review: Surgical approaches to tongue cancer have not changed substantially over the years. The literature proposes some indications for tumor excision even though type of intervention, resection margins, neck dissection, and 'en bloc' resection versus separate excision of tumor and lymph nodes do not seem to be standardized. The purpose of this review is to describe the evolution of surgical management of tongue carcinoma with particular attention to recent reports focusing on compartmental tongue surgery. Recent Findings: The current literature usually describes resection of tongue carcinoma within wide disease-free margins, ranging from 1.5 to 2cm. In case of advanced-stage tumors, performing concomitant neck dissection is recommended; otherwise, a deferred neck dissection is indicated if depth of neoplastic infiltration exceeds 4mm. In recent years, a new technical approach has been formulated based on anatomy of the tongue, thus, introducing the concept of an anatomy-based, function sparing, compartmental surgery. Summary: Applying such a proposal to clinical practice aims at standardizing a surgical procedure that otherwise might be arbitrary. Compartmental surgery improves overall survival, does not seem to worsen functional outcomes of the residual tongue, and allows comparison of case studies.
KW - compartmental surgery
KW - oral cavity carcinoma
KW - tongue carcinoma
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UR - http://www.scopus.com/inward/citedby.url?scp=84875471517&partnerID=8YFLogxK
U2 - 10.1097/MOO.0b013e32835e28d2
DO - 10.1097/MOO.0b013e32835e28d2
M3 - Article
C2 - 23422314
AN - SCOPUS:84875471517
VL - 21
SP - 112
EP - 117
JO - Current Opinion in Otolaryngology and Head and Neck Surgery
JF - Current Opinion in Otolaryngology and Head and Neck Surgery
SN - 1068-9508
IS - 2
ER -