Anatomical‐based classification for transoral base of tongue resection. Issue 5 (13th February 2021)

• Record Type: Journal Article
• Authors: De Virgilio, Armando; Kim, Se‐Heon; Wang, Chen‐Chi; Holsinger, Floyd Christopher; Magnuson, Scott; Lawson, Georges; Pellini, Raul; Mercante, Giuseppe; Costantino, Andrea; Spriano, Giuseppe
• Is Part Of: Head & neck. Volume 43:Issue 5(2021)
• Page Start: 1604
• Page End: 1609
• Publication Date: 2021-02-13
• Subjects: base of tongue -- endoscopic surgery -- oropharynx -- robotic surgery -- transoral oropharyngectomy; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.26628
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: To propose a classification of transoral base of tongue (BOT) procedures able to provide uniform terminology in order to better define postoperative results. Methods: The classification resulted from the consensus of the different authors and is based on anatomical and surgical principles. Results: The classification comprises three types of BOT resections: type 1 is the resection of the entire lingual tonsil to the muscular plane; type 2 is performed by removing the entire lingual tonsil and part of BOT muscles; type 3 is performed by removing the entire lingual tonsil and the entire BOT muscles. Based on the extension of the dissection, we can use the suffix A (contralateral BOT), B (supraglottic larynx), C (lateral oropharynx), and/or D (oral tongue). Conclusion: The proposed classification could allow us to easily compare data from different centers.