Trotter Procedure with Harmonic Scalpel : A Unique Approach to Mucoepidermoid Carcinoma of Tongue Base Revisited.

IF 0.6 Q4 SURGERY Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-10-01 Epub Date: 2024-06-21 DOI:10.1007/s12070-024-04811-8

Himanshi Grover, Ripu Daman Arora, Raima Mariam John, Karthik Nagaraja Rao, Nitin M Nagarkar

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Abstract

Mucoepidermoid carcinoma (MEC) is a malignant locally invasive tumour of salivary glands, presumed to arise from reserve cells of salivary gland ducts. It accounts approximately 35% of all malignancies of major and minor salivary glands [1]. MEC arising in minor salivary glands can be located in different areas such as palate, retromolar trigone, floor of mouth, buccal mucosa, lips and tongue. MEC of tongue base are not common but they constitute around 50% of malignant lesions of salivary glands in this region. It presents in fifth and sixth decades of life mostly [1]. We present a rare case of 29 year old woman with low grade mucoepidermoid carcinoma of base of tongue operated by the Trotter procedure with harmonic scalpel - median labio-mandibular glossotomy approach. It's an interesting approach first described by William Trotter in 1920s. It's used by head and neck surgeons for accessing tongue base lesions, pharyngeal wall and cervical spine.

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使用谐波手术刀的 Trotter 手术：重新审视治疗舌根黏液表皮样癌的独特方法。

蕈样表皮样癌（MEC）是一种唾液腺局部浸润性恶性肿瘤，据推测是由唾液腺导管的储备细胞引起的。它约占主要和次要唾液腺恶性肿瘤的 35%[1]。小唾液腺恶性肿瘤可发生在不同部位，如上颚、三叉神经后突、口底、颊粘膜、嘴唇和舌头。舌根部小涎腺恶性肿瘤并不常见，但约占该部位涎腺恶性病变的 50%。该病多发于五六十岁的中年人[1]。我们报告了一例罕见的 29 岁女性舌根部低度粘液上皮样癌病例，该病例采用谐波手术刀的 Trotter 手术--唇中线-下颌舌骨切开术。这是一种有趣的方法，由威廉-特罗特（William Trotter）于 20 世纪 20 年代首次描述。头颈部外科医生用这种方法处理舌根病变、咽壁和颈椎。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.80

自引率

0.00%

发文量

226

审稿时长

6-12 weeks

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.