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International Patient CarePartial or Total Glossectomy Surgery by Expert Oncologists
Partial or Total Glossectomy at Medicover Hospitals is performed using open surgical techniques by our skilled oncologists with qualifications like MS, DNB, and MCh. This procedure effectively addresses tongue cancers. Open surgery often results in shorter hospital stays and reduced recovery time.
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What is Partial or Total Glossectomy?
Partial or Total Glossectomy is a surgical procedure involving the removal of part or all of the tongue (glossa). This operation is performed to treat various conditions affecting the tongue. In a partial glossectomy, only a section of the tongue is removed. In a total glossectomy, the entire tongue is excised. The extent of removal depends on the severity and location of the condition.
This surgery is often necessary for treating tongue cancer or severe trauma. If left untreated, these conditions can lead to difficulty in speaking, swallowing, or even breathing. Modern surgical approaches for glossectomy include laser surgery and robotic-assisted techniques. These methods aim to minimize complications and improve recovery. Early intervention is crucial for better outcomes.
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Complete Guide To Partial Or Total Glossectomy
Everything you need to know about the procedure, preparation, and recovery
Partial or Total Glossectomy Surgery Indications
Doctors may recommend partial or total glossectomy when treating certain conditions affecting the tongue. This surgery is often considered when other treatments have not been effective or when the condition poses significant health risks.
Tongue Cancer
Patients may experience persistent tongue ulcers, pain, or bleeding. Doctors might find a tumour during a physical exam or through imaging tests. Surgery is advised when cancer is confirmed and cannot be managed with radiation or chemotherapy alone.
Severe Dysplasia
Patients could notice white or red patches on the tongue that do not heal. Tissue extraction results may show precancerous changes. Surgery is recommended if these lesions are extensive or show high-grade dysplasia, indicating a high risk of cancer.
Recurrent Tongue Lesions
Individuals might suffer from frequent painful sores or growths. Examination and biopsy may reveal recurrent benign tumours or lesions. Surgery becomes necessary when these lesions repeatedly return despite conservative treatments.
Obstructive Sleep Apnea
Some patients experience severe snoring and breathing difficulties during sleep. Sleep studies may reveal tongue enlargement obstructing the airway. Surgery is considered when other treatments, like CPAP, are ineffective.
Traumatic Injury
Patients with severe tongue injuries might face bleeding or difficulty speaking. Physical examination shows significant tissue damage. Surgery is required when the injury is extensive and cannot heal properly on its own.
How to Prepare for Partial or Total Glossectomy?
Preparation is crucial for a successful partial or total glossectomy. It helps minimise complications and ensures a smoother recovery. Proper preparation can also help reduce anxiety and improve outcomes.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements at least 7 days before surgery.
- Fasting Instructions: Do not eat or drink anything for at least 8 hours before the procedure.
- Pre-Surgery Tests: Complete all required blood tests and imaging studies as advised by your doctor.
- Personal Items: Wear loose, comfortable clothing on the day of the surgery.
- Transportation: Arrange for someone to drive you home post-surgery, as you will not be able to drive.
- Medication List: Bring a list of all medications you are currently taking, including dosages.
- Smoking and Alcohol: Avoid smoking and alcohol for at least 48 hours before the surgery.
- Oral Hygiene: Maintain good oral hygiene to reduce the risk of infection.
Partial or Total Glossectomy Surgery (Step-by-Step)
Overview: This procedure is performed by oncologists. It typically lasts 2-4 hours and is done under general anaesthesia.
- Preparation: The patient is given general anaesthesia to ensure they are asleep and pain-free. The surgical area is sterilised.
- Incision: A small incision, usually about 1-2 cm, is made in the mouth to access the tongue. This allows the surgeon to reach the affected area.
- Tumour Removal: Using instruments like a harmonic scalpel or coblation wand, the surgeon carefully removes the cancerous part of the tongue. In a total glossectomy, the entire tongue may be removed.
- Bleeding Control: Bipolar cautery is used to control bleeding and ensure the surgical site is clear.
- Reconstruction: If necessary, tissue from another part of the body may be used to reconstruct the tongue. This helps in maintaining some functionality.
- Closure: The incision is closed with sutures. The patient is monitored as they wake up from anaesthesia.
- Recovery: The patient is moved to a recovery room. They may experience some swelling and discomfort, which is managed with medication.
Who Performs Partial or Total Glossectomy Surgery?
This surgery is performed by oncology doctors who specialise in head and neck surgeries. They have expertise in managing cancers affecting the oral cavity and are skilled in surgical techniques required for glossectomy.
Recovery After Partial or Total Glossectomy Surgery
Recovery from a partial or total glossectomy can vary based on the extent of the surgery. Patients can expect a gradual return to normal activities, with specific dietary and activity guidelines to follow.
Day 1-3:
- Expect some swelling and discomfort. Pain management will be provided.
- Start with a liquid diet. Include clear soups and broths.
- Rest is crucial. Avoid speaking as much as possible.
Day 4-7:
- Swelling should begin to reduce. Continue with prescribed medications.
- Introduce soft foods like curd, dal-rice, and moong dal.
- Gentle oral hygiene is important. Follow the doctor's instructions.
- Light activities can be resumed, but avoid strenuous tasks.
Week 2-4:
- Gradually return to a normal diet, focusing on soft and easy-to-swallow foods like khichdi and mashed vegetables.
- Speech may still be affected. Speech therapy might be recommended.
- Most patients can return to work or school, depending on recovery progress.
Month 1-3:
- Continue with speech exercises if advised.
- Regular follow-ups with the healthcare provider are essential.
- Resume normal activities as comfort allows.
When to Seek Urgent Help
- Excessive bleeding or swelling.
- Difficulty breathing or swallowing.
- Signs of infection such as fever or pus.
- Sudden changes in speech or inability to speak.
Benefits of Partial or Total Glossectomy Surgery
Glossectomy, whether partial or total, is a surgical procedure primarily aimed at treating tongue cancer. It can offer several benefits for patients.
- Removal of Cancerous Tissue: Effective in eliminating cancerous cells from the tongue.
- Improved Prognosis: Can enhance survival rates by preventing cancer spread.
- Symptom Relief: Alleviates symptoms like pain and difficulty swallowing.
- Enhanced Quality of Life: May improve overall well-being by addressing cancer-related issues.
Risks and Complications of Partial or Total Glossectomy Surgery
While glossectomy can be beneficial, it carries certain risks and potential complications. Patients should be aware of these before undergoing the procedure.
Common Risks
- Speech Difficulties: May affect speech clarity and articulation.
- Swallowing Challenges: Difficulty in swallowing can occur post-surgery.
- Taste Alteration: Changes in taste perception are possible.
Rare Risks
- Infection: Risk of infection at the surgical site.
- Bleeding: Post-operative bleeding may occur.
- Nerve Damage: Potential for nerve injury affecting tongue movement.
Cost of Partial or Total Glossectomy Surgery
The cost of Partial or Total Glossectomy Surgery at Medicover Hospitals ranges from ₹1,64,500 to ₹8,00,000. The price varies based on the ward category chosen, such as general, twin sharing, private, and deluxe options. We offer transparent pricing to ensure clarity for our patients.
Insurance and TPA support, including CGHS, ESI, and major TPAs, is available, along with a cashless facility for a hassle-free experience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Partial or Total Glossectomy surgery cost at Medicover Hospitals?
The cost for Partial or Total Glossectomy surgery at Medicover Hospitals ranges from ₹1,64,500 to ₹8,00,000, depending on the type of room and care required.
2. Is Partial or Total Glossectomy surgery covered under health insurance at Medicover?
Yes, this surgery is often covered under CGHS, ESI, and major TPAs with cashless options. Please contact the hospital for current panel details.
3. Will I have difficulty speaking after glossectomy?
Yes, speech difficulties are common after glossectomy. Speech therapy can help improve communication skills over time.
4. Can I eat spicy food after glossectomy?
Spicy foods should be avoided initially as they can irritate the healing tissue. Soft foods like dal-rice and curd are recommended during recovery.
5. Will I need a feeding tube after glossectomy?
A feeding tube may be necessary initially to ensure proper nutrition. Your doctor will advise when it's safe to transition to oral feeding.
6. How soon can I return to work after glossectomy?
Recovery time varies, but many patients return to work within 4-6 weeks. Consult your doctor for personalized advice based on your progress.
7. Is there a risk of infection after glossectomy?
Yes, like any surgery, there is a risk of infection. Following post-operative care instructions and keeping the surgical site clean can help reduce this risk.
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