Document Detail

Tongue viability after bilateral lingual artery ligation and surgery for recurrent tongue-base cancer.
MedLine Citation:
PMID:  14569708     Owner:  NLM     Status:  MEDLINE    
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.
Paul K Foster; Donald T Weed
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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    
Department of Otolaryngology, University of Miami School of Medicine, 1475 NW 12th Ave. #4037, Miami, FL 33136, USA.
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MeSH Terms
Arteries / surgery
Carcinoma, Squamous Cell / surgery*
Collateral Circulation
Lymph Node Excision
Neoplasm Recurrence, Local / surgery*
Tongue / blood supply*
Tongue Neoplasms / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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