RT Journal
A1 EDGERTON MT, McKEE DM
T1 REconstruction with loss of the hyomandibular complex in excision of large cancers
JF A.M.A. Archives of Surgery
JO A.M.A. Archives of Surgery
YR 1959
FD March 1
VO 78
IS 3
SP 425
OP 436
DO 10.1001/archsurg.1959.04320030069013
UL http://dx.doi.org/10.1001/archsurg.1959.04320030069013
AB Surgeons treating large cancers of the head and neck find that tumors in two locations present particularly formidable problems. One of these areas is the base of the tongue, where large neoplasms are difficult to remove without sacrifice of the essential blood supply to both sides of the tongue. This results usually in total glossectomy and must often be followed by removal of the larynx, even though this important structure be entirely free of tumor. If laryngectomy is not performed, the patient may succumb to aspiration pneumonia, due to inability to keep food and saliva out of the trachea in the absence of a tongue.A second particularly troublesome tumor is one that involves the symphysis of the mandible and related muscles supporting the hyoid bone, larynx, and tongue. Removal of this important functional unit may leave the patient unable to breathe by way of the larynx and unable to