Anatomical-based classification for transoral base of tongue resection

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Authors: Armando De Virgilio ; Se-Heon Kim ; Chen-Chi Wang ; Floyd Christopher Holsinger ; Scott Magnuson ; Georges Lawson ; Raul Pellini ; Giuseppe Mercante ; Andrea Costantino ; Giuseppe Spriano

Citation: HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, Vol.43(5) : 1604-1609, 2021-05

Journal Title: HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK

MeSH: Glossectomy ; Humans ; Larynx* ; Oropharynx ; Robotic Surgical Procedures* ; Tongue / surgery ; Tongue Neoplasms* / surgery

Keywords: base of tongue ; endoscopic surgery ; oropharynx ; robotic surgery ; transoral oropharyngectomy

Abstract: Background: To propose a classification of transoral base of tongue (BOT) procedures able to provide uniform terminology in order to better define postoperative results.

Methods: The classification resulted from the consensus of the different authors and is based on anatomical and surgical principles.

Results: The classification comprises three types of BOT resections: type 1 is the resection of the entire lingual tonsil to the muscular plane; type 2 is performed by removing the entire lingual tonsil and part of BOT muscles; type 3 is performed by removing the entire lingual tonsil and the entire BOT muscles. Based on the extension of the dissection, we can use the suffix A (contralateral BOT), B (supraglottic larynx), C (lateral oropharynx), and/or D (oral tongue).

Conclusion: The proposed classification could allow us to easily compare data from different centers.

Appears in Collections:: 1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers

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