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Anatomically‐based transoral surgical approach to early‐stage oral tongue squamous cell carcinoma
Author(s) -
Calabrese Luca,
Pietrobon Giacomo,
Fazio Enrico,
Abousiam Monir,
Awny Shadi,
Bruschini Roberto,
Accorona Remo
Publication year - 2020
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.26095
Subject(s) - tongue , medicine , basal cell , stage (stratigraphy) , neck dissection , tongue neoplasm , oral cavity , cancer , dissection (medical) , surgical margin , floor of mouth , surgery , resection , carcinoma , radiology , pathology , dentistry , biology , paleontology
The mainstream of treatment of early‐stage oral tongue squamous cell carcinoma (OTSCC) is represented by transoral resection with “adequate” free margins. Despite that, a precise and shared definition of “adequate margin” is lacking, and so is a standardized transoral surgical technique.The tongue is a symmetrically paired organ, consisting of intertwining intrinsic and extrinsic muscles, which can be distinguished during dissection. Routes of tumoral spread in oral tongue cancer are well‐known and should be taken into account during resection. We propose herein a standardized and replicable surgical technique to resect early‐stage OTSCC, based on rational anatomical considerations.