Laryngo- rhino- otologie · 2026
[Compartmental approach in the surgical therapy of advanced squamous cell carcinomas of the tongue].
СтатьяОбзорАннотация на английскомНазвание и аннотация: Перевод в очереди
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Gazzini Luca, Zanghi Francesca, Budiman Sascha, Erckert Bettina, Tetter Nora, Gazzini Sandra, Pedò Lukas, Gallmetzer Lorenz, Calabrese Luca
Аннотация
OBJECTIVES: Traditional surgery for squamous cell carcinoma of the tongue is based on tumor excision with predefined safety margins. However, due to the complex anatomy of the tongue and multiple tumor spread pathways, this approach may fail to achieve adequate oncological control.
METHODS: Compartmental surgery has been proposed as an alternative approach, based on en-bloc resection of the tumor, cervical lymph nodes, and tumor-node tract, following anatomical pathways of spread. A literature review was conducted using the keywords: (tongue carcinoma) OR (tongue cancer) OR (oral cavity cancer) AND (compartmental surgery).
RESULTS: Fourteen relevant studies were analyzed. The reviewed literature describes an anatomy-based, function-preserving surgical concept. Compared to conventional partial glossectomy, compartmental surgery demonstrated improved oncological outcomes without significant impairment of functional results.
CONCLUSIONS: Compartmental surgery represents a standardized and reproducible approach for tongue cancer, providing adequate radicality while preserving function through anatomy-based surgical principles.
METHODS: Compartmental surgery has been proposed as an alternative approach, based on en-bloc resection of the tumor, cervical lymph nodes, and tumor-node tract, following anatomical pathways of spread. A literature review was conducted using the keywords: (tongue carcinoma) OR (tongue cancer) OR (oral cavity cancer) AND (compartmental surgery).
RESULTS: Fourteen relevant studies were analyzed. The reviewed literature describes an anatomy-based, function-preserving surgical concept. Compared to conventional partial glossectomy, compartmental surgery demonstrated improved oncological outcomes without significant impairment of functional results.
CONCLUSIONS: Compartmental surgery represents a standardized and reproducible approach for tongue cancer, providing adequate radicality while preserving function through anatomy-based surgical principles.