Resection of benign tumor of body of tongue

The benign tumor resection of the tongue is used for the surgical treatment of benign tumors of the tongue. The tongue is one of the most prevalent sites of the tumor and is also a good site for malignant tumors. According to clinical statistics, the incidence of malignant tumors in the base of the tongue is higher than that in the tongue. The incidence of malignant tumors on the tongue of the tongue is higher than that of the tongue, while the incidence of the tongue is the lowest. Common benign tumors of the tongue are schwannomas, cavernous hemangioma, lymphangioma, neurofibromatosis, fibroids, papilloma, mucoepidermoid tumors, etc. In addition, there are fibroids and cysts. Although these tumors are benign, some are malignant, some can cause deformity and affect pronunciation, swallowing and other functions. The treatment method is still surgical resection. Treating diseases: tongue disease Indication All benign tumors that have been diagnosed with the tongue and unexplained tongue masses should be resected. For a suspected malignant mass, a positive attitude should be taken. In order to avoid secondary surgery for malignant tumors, biopsy may be considered. After the pathological diagnosis is confirmed, according to the nature of the benign and malignant, according to the treatment principle. Contraindications In addition to the general condition is not suitable for surgery, there are no special contraindications for benign tumor resection. For a lump that grows slowly and has no special symptoms, it is allowed to observe closely. Preoperative preparation 1. Oral cleansing. 2. Regular physical examination. 3. Check blood routine and clotting time. 4. Drug sensitivity test. Surgical procedure Incision It varies depending on the location of the tumor. Superficial tumors of the tongue mucosa, such as papilloma, stimulating fibroids, etc., tend to be small in size, but can be pedicled and need to be removed together with the deep tissue, and a longitudinal fusiform incision consistent with the long axis of the tongue can be taken. For benign tumors that have an envelope in the muscle, such as schwannomas, neurofibromas, and fibroids, a straight or fusiform incision consistent with the long axis of the tongue may be taken. For deep tumors that grow in the tongue, have no capsule, and have unclear boundaries, different incisions should be designed according to the extent of their invasion, such as fusiform, V-shaped, etc., but most of them need full-thickness resection. Partial excision of the tongue. The key to the removal of the tumor at the base of the tongue is the surgical approach. According to the different approaches of the selected design, the corresponding incision needs to be added to achieve the goal. Through the surgical approach, the tumor located at the base of the tongue is fully revealed, and according to the shape and nature of the tumor, a suitable incision is taken to achieve the purpose of removing the tumor. 2. Resection of the tumor After routine disinfection, a thick thread is sewn through the finger or in the tongue, and the tongue is pulled out of the mouth (wrap with a gauze when the finger is pulled), cut according to the designed incision, or the tumor is removed together with the deep muscle tissue; Or separate along the tumor capsule, complete removal of the tumor; or partial excision of the tongue along with the full-thickness of the tongue. All should be selected according to tumor location, growth pattern and tumor characteristics. For the full-thickness removal of the tongue tissue, attention should be paid to the sutured and cut off tongue artery. Lymphangioma is diffusely grown, and all of its limitations can be removed. For those who invade the entire tongue (called giant tongue), careful design should be done to remove some tumors and preserve the morphology of the tongue. 3. Stitching After the diseased tissue is removed, the blood is completely stopped and the layered suture is pulled. complication Wound bleeding This is caused by improper hemostasis and suture. For those with more bleeding, the wound should be reopened for hemostasis and sutured properly. 2. Wound splitting The distance between the proximal needle point and the incision is too close, and the lingual tissue of the tongue is postoperative. The suture is cut and the suture is loose. It should be sutured again. A small range of splitting can be changed to promote healing in the second phase. 3. Respiratory disorders Resection of the tissue is large and wide, hemostasis is not complete, postoperative swelling and edema of the tongue may occur, which may affect the breathing. In addition to the application of dexamethasone and other hormonal drugs, it should be closely observed, if necessary, tracheotomy Wait for emergency measures.