Oncologic and functional results after transhyoid surgical approach for cancer of the base of tongue
Version of Record online: 21 OCT 2010
Copyright © 2010 Wiley Periodicals, Inc.
Head & Neck
Volume 33, Issue 8, pages 1079–1084, August 2011
How to Cite
Rodrigo, J. P., Díaz-Molina, J. P., Moreno, C. and Suárez, C. (2011), Oncologic and functional results after transhyoid surgical approach for cancer of the base of tongue. Head Neck, 33: 1079–1084. doi: 10.1002/hed.21569
- Issue online: 13 JUL 2011
- Version of Record online: 21 OCT 2010
- Manuscript Accepted: 9 JUL 2010
- Manuscript Revised: 1 JUN 2010
- Manuscript Received: 26 MAR 2010
- base of tongue;
- transhyoid approach;
The optimal treatment for base of tongue cancer remains unclear, especially in advanced stages.
We retrospectively review 84 previously untreated patients that underwent a transhyoid resection of a base of tongue carcinoma. Sixty-four patients (76%) underwent postoperative radiotherapy.
Five patients had stage II disease, 6 had stage III, 58 had stage IVA, and 15 had stage IVB. The overall recurrence rate was 68%. Five-year disease-specific survival rates by stage were 100%, 67%, 27%, and 8% for stage II to IVB, respectively (p = .0007). Multivariate analysis showed that the presence of lymph node metastases was an independent predictor of reduced disease-specific survival rates (p = .02). All patients maintained an intelligible voice, and oral alimentation was successfully recovered in 97.5% of them.
The transhyoid approach allowed adequate resection of base of tongue cancers with low morbidity and acceptable functional results, but the oncologic outcomes in advanced stages are poor. Head Neck, 2011