Gehanno P, Guédon C, Véber F, Perreau P, Alalouf P, Moisy N
Ann Otolaryngol Chir Cervicofac. 1985;102(3):183-6.
Total glossectomy with preservation of larynx was performed in 27 patients with lesions affecting the whole tongue and developing from the base, the tonsilloglottal recess, of the junction zone and of the posterior wall, or from the mobile tongue. Results in patients followed up for more than one year (27 cases) showed: 11 survivors only, with 12 deaths from local, regional or metastatic recurrence. Among the 11 survivors, 7 presented very satisfactory functional rehabilitation--they no longer required tracheotomies, were free from pain and fed themselves without problem with mixed types of food. Phonation could be understood and they were reasonably autonomous. When tumoral excision is possible in patients with extension not evident as palpable glands, this operation appears quite justified for patients who are psychologically motivated and very insistent on some therapy, the modalities and risks of which have been exposed.
对27例病变累及整个舌体且起源于舌根、扁桃体声门隐窝、交界区及后壁或活动舌部的患者实施了保留喉的全舌切除术。对随访超过一年的患者（27例）的结果显示：仅11例存活，12例死于局部、区域或转移性复发。在11例存活者中，7例功能康复情况非常令人满意——他们不再需要气管切开术，无疼痛，能自行进食各种混合食物。发音可被理解，自理能力尚可。对于那些腺体未明显触及肿大但有手术切除可能的患者，如果其心理上有强烈意愿且坚决要求接受某种治疗，并且已了解该治疗的方式和风险，那么这种手术似乎是完全合理的。
