Division of Otorhinolaryngology Head and Neck Surgery, "San Maurizio" Hospital, Bolzano, Italy.
Otolaryngology-Head and Neck Surgery Department, University Hospital of Verona, Verona, Italy.
Eur Arch Otorhinolaryngol. 2023 Jun;280(6):3015-3022. doi: 10.1007/s00405-023-07915-z. Epub 2023 Mar 10.
In the last decade, compartmental surgery (CTS) has been the surgical approach of choice for advanced tumors of the tongue and oral floor.
Advanced tumors (cT3-T4) oral tongue squamous cell carcinoma (OTSCC) may extend beyond the lingual septum and involve the contralateral hemitongue, developing along the intrinsic transverse muscle. The disease may then involve the genioglossus muscle and, more laterally, the hyoglossus muscle.
The surgical approach to the contralateral tongue must be guided by anatomic and anatomopathological principles to achieve a safe oncological resection based on the principles of CTS.
We propose a schematic classification of glossectomies that extend to the contralateral hemitongue based on the anatomy and pathways of tumor spread.
在过去十年中，隔室手术（CTS）已成为舌和口腔底部高级肿瘤的首选手术方法。
舌部鳞状细胞癌（OTSCC）的高级肿瘤（cT3-T4）可能超出舌中隔并累及对侧半舌，沿着固有横肌发展。疾病可能累及颏舌肌，更外侧则累及舌骨舌肌。
对侧舌的手术方法必须基于解剖学和解剖病理学原则来指导，以实现基于 CTS 原则的安全肿瘤切除术。
我们根据肿瘤扩散的解剖和途径，提出了一种扩展至对侧半舌的舌切除术的示意性分类。
