This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

John R. Keyserlingk, MD; Juan de Francesco, MD; Nicolas Breach, FRCS; Peter Rhys-Evans, FRCS; Nicolas Stafford, FRCS

Arch Otolaryngol Head Neck Surg. 1989;115(3):331-338.

Abstract
• In an attempt to monitor the impact of new reconstructive procedures and shifting interest away from routine preoperative radiotherapy, we have reviewed the 81 patients undergoing major glossectomy and reconstruction (MGR) at the Royal Marsden Hospital, London and Surrey, England, between 1975 and 1987. While there were four marginal and 13 major reconstructive failures, 11 of the latter were successfully managed with an alternative flap, thus providing a prompt and effective palliation for most of these patients. An evolution in our choice of reconstructive procedures as well as a recent trend toward using MGR as a primary therapeutic modality were noted. Data relating to speech following reconstruction and diet rehabilitation were encouraging, particularly with the use of the latissimus dorsi flap. Survival following MGR, however, was dismal due to early local and regional recurrence.

(Arch Otolaryngol Head Neck Surg 1989;115:331-338)

Author Affiliations
Angela Mott

From the Combined Head and Neck—Thyroid Disease Unit, Department of Surgery (Drs Keyserlingk, de Francesco, Breach, Rhys-Evans, and Stafford) and the Computer Department (Ms Mott), Royal Marsden Hospital, London and Surrey, England. Dr Keyserlingk is now with McGill University, Montreal; Dr de Francesco is now with the University of El Rosario, Bogotá, Colombia.

Footnotes
Accepted for publication Sept 9, 1988.

Read before the Second International Conference on Head and Neck Cancer, Boston, Aug 1, 1988.

Reprint requests to Combined Head and Neck—Thyroid Disease Unit, Department of Surgery, St Mary's Hospital, Room 2302, 3830 Lacombe Ave, Montreal, Quebec, Canada H3T 1M5 (Dr Keyserlingk).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The Latissimus Dorsi Donor Site: Current Use in Head and Neck Reconstruction
Haughey and Fredrickson
Arch Otolaryngol Head Neck Surg 1991;117:1129-1134.
ABSTRACT  

Functional Results After Total or Near Total Glossectomy With Laryngeal Preservation
Weber et al.
Arch Otolaryngol Head Neck Surg 1991;117:512-515.
ABSTRACT