title: Indications, reconstructive techniques, and results for total glossectomy.
abstract: The best treatment for advanced tongue tumors remains controversial. Total glossectomy with laryngeal preservation is considered a feasible option, despite its morbidity.
  
  
  
  A retrospective analysis of 12 total glossectomies with laryngeal preservation was performed in order to assess the available reconstruction techniques and analyze survival and functional outcomes.
  
  
  
  One-year overall survival (OS) and disease-free survival (DFS) rates were 58.3% and 33.3%, respectively, both dropping to 25% after 3 years. Permanent gastrostomy was necessary in 10 patients, although videofluoroscopy revealed adequate tolerance to liquids. Speech intelligibility was satisfactory in 50% of the patients and severely impaired in the remaining 50%.
  
  
  
  Laryngeal preservation in the context of advanced tumors of the tongue without supraglottic invasion carried similar oncologic results to total glossectomy with laryngectomy, but offers a better phonatory function. However, it is usually associated with a higher gastrostomy dependency ratio. A scrupulous selection of candidates is mandatory. © 2016 Wiley Periodicals, Inc. Head Neck 38: E2004-E2010, 2016.
authors.affiliation: Oral and Maxillofacial Department, Hospital Vall d'Hebron, Barcelona, Spain.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Mazarro
authors.affiliation: Oral and Maxillofacial Department, Hospital Vall d'Hebron, Barcelona, Spain.
authors.forename: Alba
authors.initials: A
authors.lastname: de Pablo
authors.affiliation: Department of Nutrition, Hospital Vall d'Hebron, Barcelona, Spain.
authors.forename: Carolina
authors.initials: C
authors.lastname: Puiggròs
authors.affiliation: Department of Phoniatry and Logopedy - Rehabilitation Service, Hospital Vall d'Hebron, Barcelona, Spain.
authors.forename: M Mercedes
authors.initials: MM
authors.lastname: Velasco
authors.affiliation: Oral and Maxillofacial Department, Hospital Vall d'Hebron, Barcelona, Spain.
authors.forename: Manel
authors.initials: M
authors.lastname: Saez
authors.affiliation: Oral and Maxillofacial Department, Hospital Vall d'Hebron, Barcelona, Spain.
authors.forename: Jorge
authors.initials: J
authors.lastname: Pamias
authors.affiliation: Oral and Maxillofacial Department, Hospital Vall d'Hebron, Barcelona, Spain.
authors.forename: Coro
authors.initials: C
authors.lastname: Bescós
mesh_terms: D000328:Adult; D000368:Aged; D018572:Disease-Free Survival; D005260:Female; D005774:Gastrostomy; D005927:Glossectomy; D006801:Humans; D007830:Larynx; D008297:Male; D008875:Middle Aged; D059351:Organ Sparing Treatments; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013065:Speech Intelligibility; D015996:Survival Rate; D014062:Tongue Neoplasms / Q000601:surgery*
keywords: glossectomy; laryngectomy; reconstruction; survival; tongue cancer