Endoscopic Transoral Surgery of the Tongue Base

Ruggeri Carlos S,Acosta Lautaro,Bedini Ivo

doi:10.23937/2572-4193.1510098

Abstract

Patients treated for pathologies that compromised the tongue base using a transoral approach with the assistance of endoscopes in the head and neck section of the Otorhinolaryngology service of the Hospital Italiano de Buenos Aires between March 2005 and April 2019 were selected.

Highlights

The use of endocameras and endoscopes to see with magnification and angle is common in otorhinolaryngological surgeries.Better vision facilitates exposure and proper surgical treatment.The use of endoscopes in surgeries of the tongue base allows exposing this sector and visualizing posteriorly and inferiorly up to the lingual aspect of the epiglottis and valleculae, making it possible to perform complete resections even in malignant tumors.Surgeries performed transorally with the assistance of endoscopes reduce morbidity by avoiding tracheostomies and the indication of prolonged enteral feeding, as occurs in external surgical approaches, and decreases hospitalization time and cost of the procedure
In malignant tumors the resections were complete with free margins, and in the others the region could be exposed very well and the pathologies resolved
Seven patients were treated by a transoral approach with endoscopes for pathologies that compromised the base of the tongue from March 2004 and April 2019 in the Otorhinolaryngology department of the Hospital Italiano de Buenos Aires

Summary

Introduction

The use of endocameras and endoscopes to see with magnification and angle is common in otorhinolaryngological surgeries.Better vision facilitates exposure and proper surgical treatment.The use of endoscopes in surgeries of the tongue base allows exposing this sector and visualizing posteriorly and inferiorly up to the lingual aspect of the epiglottis and valleculae, making it possible to perform complete resections even in malignant tumors.Surgeries performed transorally with the assistance of endoscopes reduce morbidity by avoiding tracheostomies and the indication of prolonged enteral feeding, as occurs in external surgical approaches, and decreases hospitalization time and cost of the procedure. The use of endocameras and endoscopes to see with magnification and angle is common in otorhinolaryngological surgeries. Better vision facilitates exposure and proper surgical treatment. The use of endoscopes in surgeries of the tongue base allows exposing this sector and visualizing posteriorly and inferiorly up to the lingual aspect of the epiglottis and valleculae, making it possible to perform complete resections even in malignant tumors. Surgeries performed transorally with the assistance of endoscopes reduce morbidity by avoiding tracheostomies and the indication of prolonged enteral feeding, as occurs in external surgical approaches, and decreases hospitalization time and cost of the procedure

Objectives

Methods

Results

Discussion

Conclusion