| Tongue viability after bilateral lingual artery ligation and surgery for recurrent tongue-base cancer. | |
| | |
MedLine Citation:
|
PMID: 14569708 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A 73-year-old man came to us with a second primary tumor of the tongue base. He had undergone a total laryngectomy, neck dissections, and radiation for squamous cell carcinoma of the glottis 25 years earlier. Surgery was performed, including a subtotal tongue-base resection and pectoralis myocutaneous flap reconstruction. Intraoperative findings confirmed tumor involvement of the left lingual artery and hypoglossal nerve, both of which were sacrificed. Dissection revealed an intact but apparently thrombosed right lingual artery, and this was verified by intraoperative Doppler evaluation. Postoperatively, the preserved oral tongue remained well perfused and viable, and tongue mobility was good. In patients who have undergone previous head and neck cancer resections, collateral blood supply to the tongue might develop if the flow of one or both of the lingual arteries is interrupted. This possibility can be fully evaluated by preoperative angiography, which might offer these patients the potential for tongue preservation. |
| | |
Authors:
|
Paul K Foster; Donald T Weed |
Related Documents
:
|
16459958 - Cranial artery dissection. 9201128 - Aneurysmal arterial disease in a patient with ehlers-danlos syndrome. case report and l... 21550508 - The role of embolic protection in peripheral arterial atherectomy. 21163118 - Effect of arterioportal shunting in radical resection of hilar cholangiocarcinoma. 15616398 - Venous thromboembolism after trauma. 1992858 - Coronary artery aneurysm without stenosis in association with osler-weber-rendu disease... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Ear, nose, & throat journal Volume: 82 ISSN: 0145-5613 ISO Abbreviation: Ear Nose Throat J Publication Date: 2003 Sep |
Date Detail:
|
Created Date: 2003-10-22 Completed Date: 2003-11-12 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 7701817 Medline TA: Ear Nose Throat J Country: United States |
Other Details:
|
Languages: eng Pagination: 720-2, 724 Citation Subset: IM |
Affiliation:
|
Department of Otolaryngology, University of Miami School of Medicine, 1475 NW 12th Ave. #4037, Miami, FL 33136, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Arteries / surgery Carcinoma, Squamous Cell / surgery* Collateral Circulation Humans Laryngectomy Ligation Lymph Node Excision Male Neoplasm Recurrence, Local / surgery* Tongue / blood supply* Tongue Neoplasms / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Phylogeny and embryology of the facial nerve and related structures. Part I: Phylogeny.
Next Document: Juvenile xanthogranuloma: a rare cause of subglottic cyst and stenosis.