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.

Anatomical-based classification for transoral base of tongue resection

De Virgilio, Armando;Mercante, Giuseppe;Spriano, Giuseppe
2021-01-01

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.
2021
base of tongue
endoscopic surgery
oropharynx
robotic surgery
transoral oropharyngectomy
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11699/72723
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