A case of adenoid cystic carcinoma of tongue base

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  • Takiguchi Shuhei
    Department of Otorhinolaryngology, Showa University, Fujigaoka Hospital
  • Kobayashi Sei
    Department of Otorhinolaryngology, Showa University, Fujigaoka Hospital
  • Gomibuchi Hiroshi
    Department of Otorhinolaryngology, Showa University, Fujigaoka Hospital
  • Yui Takehumi
    Department of Otorhinolaryngology, Showa University, Fujigaoka Hospital
  • Shimane Toshikazu
    Head and Neck Oncology Center, Showa University Department of Otorhinolaryngology, Showa University School of Medicine Department of Oral Surgery and Oral Oncology, Showa University School of Dentistry

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Other Title
  • 舌根部に発生した腺様嚢胞癌の1例

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Abstract

Adenoid cystic carcinoma that occurs in the head and neck is a rare malignant tumor. The tongue base is an important part of the swallowing function and the articulation function, and tumor removal at this site may cause postoperative dysphagia and dysarthria. Here, we experienced a relatively large adenoid cystic cancer case that occurred at the base of the tongue. The approach to the tumor was performed in the mandible midline transection, and was reconstructed with the rectus abdominis muscle flap, and because postoperative dysphagia was expected, laryngeal elevation and cricopharyngeal muscle amputation were performed at the same time. A postoperative jelly meal can be taken orally and daily conversation without the need for writing is possible, but some speech is intelligible. In this case, this procedure was useful for maintaining QOL.

Journal

  • Toukeibu Gan

    Toukeibu Gan 44 (1), 23-27, 2018

    Japan Society for Head and Neck Cancer

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