Abstract
A 55-year old middle-aged male presented swelling lymph nodes in neck and mass in left tongue for three mouths. Physical examination shows a size 5 cm×5 cm mass in tongue and went over the midline. The mandibular lymph nodes were touched with moderate tenderness and little mobility in bilateral. The laboratory results, function of the kidney and heart liver, nasopharyngeal fiber area were basically normal. The result of CT and MRI shows the mass reached the lingual muscle layer and several suspected metastatic lymph nodes in neck. Pathological examination shows much atypical squamous cell reached muscle layer, diagnosed as highly differentiated squamous cell carcinoma. We determined to treat the patient with removal of primary lesion and bilateral neck dissection. We performed tracheotomy after the operation. During the surgeon's blunt dissection of the trachea surrounding tissue, the hemorrhage occurred. After staunching the blood, we transferred sternocleidomastoid muscle flap to fill the soft gas space and finished the surgery.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Journal of clinical otorhinolaryngology, head, and neck surgery
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
