partial tongue resection

Tongue cancer is the most common oral cancer, more men than women. Most of the tongue cancers are squamous cell carcinoma, especially in the 2/3 front part of the tongue. Adenocarcinoma is rare, mostly located in the base of the tongue. Lymphatic epithelial cancer and undifferentiated carcinoma can sometimes occur in the base of the tongue. Tongue cancer occurs mostly at the edge of the tongue, followed by the tip of the tongue, the back of the tongue and the base of the tongue. It is often ulcerated or infiltrated. Generally, the degree of malignancy is high, the growth is fast, the infiltration is strong, and the tongue muscle is often spread, resulting in limited movement of the tongue, which makes it difficult to speak, eat and swallow. Tongue cancer can invade the lingual arch and tonsil in the posterior, and the advanced tongue cancer can spread to the bottom of the mouth and the jaw bone, so that the whole tongue is fixed. Treating diseases: tongue cancer Indication Benign tumors of the tongue and superficial mucosal carcinoma that has not invaded the margin of the muscle layer can be used for partial resection; 2/3 of the tongue in front of the tongue has invaded the tongue muscle, but it is still limited, and can be used as a half tongue (even Full tongue) resection. Because tongue cancer develops rapidly and metastasizes early, more radical cervical lymph node resection is performed at the same time, or postoperative radiotherapy is used. Contraindications Most of them use lingual nerve block anesthesia, and a few who need extensive tongue resection can be performed under general anesthesia. Preoperative preparation 1. If a malignant tumor is present, it is necessary to examine in detail whether there is local lymph node and long-distance metastasis before surgery. 2. Oral cleaning treatment. Surgical procedure 1. Incision: Use a tongue clamp to clamp or use a silk thread to pull the tongue out through the tip of the tongue. Make a sufficient width around the edge of the tumor (a benign tumor is around the tumor base, and the malignant tumor needs to be 1.5 cm away from the edge of the tumor). Fusiform incision. 2. Resection of the tumor: The tumor was cut along the incision with a sharp knife and the tumor was excised. Ligation and hemostasis. 3. Stitching: The muscle layer and the mucosal wound layer are layered with a silk thread, and the suture type and the intermittent suture are used. complication Loss of appetite is one of the causes of cachexia and a clinical manifestation of cachexia. As with the cachexia of other advanced cancers, patients may experience loss of appetite or anorexia, weight loss, fatigue, anemia, and fever, severe failure and even death.

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