Hemiglossectomy
Hemiglossectomy is a surgical procedure involving the partial removal of one half of the tongue, most commonly performed for tongue cancer or precancerous lesions. The tongue plays a vital role in speech, swallowing, and taste, making this surgery both functionally and anatomically significant.
The primary goal of hemiglossectomy is complete disease removal while preserving maximum tongue function. Modern surgical techniques emphasize precision, functional preservation, and reconstructive approaches when needed.
Postoperative recovery includes wound care, speech and swallowing rehabilitation, nutritional support, and long-term follow-up to ensure optimal recovery and cancer surveillance.
What is Hemiglossectomy
Surgical Overview
Hemiglossectomy is a partial tongue resection surgery performed to remove cancerous or diseased tissue while preserving healthy tongue structures. It is a cornerstone procedure in the management of tongue and oral cavity cancers.
- Indications Used for tongue cancer, severe dysplasia, traumatic injuries, and persistent non-healing tongue lesions.
- Extent of Surgery Involves removal of one side of the tongue while preserving the remaining side for speech and swallowing.
- Surgical Techniques Performed using conventional surgery, laser excision, or robotic-assisted surgical methods.
- Reconstruction May involve tissue flaps from the forearm, thigh, or other areas to restore tongue shape and function.
Preoperative Evaluation and Planning
Diagnostic Workup
Before hemiglossectomy, patients undergo extensive evaluation to determine tumor stage and surgical feasibility. The surgical plan focuses on complete tumor removal while minimizing functional impairment.
- Biopsy Confirms cancer or pathological diagnosis before surgery.
- Imaging Tests CT, MRI, or PET scans to assess tumor size, depth, and lymph node spread.
- Multidisciplinary Review Coordination between ENT surgeons, oncologists, radiologists, and reconstructive specialists.
- Patient Counseling Detailed explanation of surgical risks, speech and swallowing changes, and recovery expectations.
Recovery and Rehabilitation
Postoperative Care and Therapy
Recovery after hemiglossectomy involves wound healing, pain control, and rehabilitation to restore oral functions. Speech and swallowing therapy are essential components of postoperative care.
- Hospital Stay Patients remain hospitalized for monitoring, wound care, and feeding support.
- Speech Therapy Helps patients regain articulation and clarity of speech after tongue surgery.
- Swallowing Therapy Assists in adapting swallowing techniques and preventing aspiration complications.
- Nutritional Support Temporary feeding tubes or modified diets may be required until oral intake is safe.
Why Choose CureU Healthcare
Advanced Head and Neck Surgical Expertise
CureU Healthcare provides comprehensive surgical and oncologic care for patients undergoing hemiglossectomy. Our specialized ENT and head-and-neck surgeons focus on oncologic safety, functional preservation, and quality-of-life restoration. We integrate reconstructive surgery, oncology support, and rehabilitation services to ensure holistic patient recovery.
- Specialized Surgical Team Highly experienced ENT and head-and-neck surgeons with expertise in tongue cancer surgery.
- Advanced Surgical Technology Access to laser, microsurgical, and reconstructive surgical techniques for precise and safe procedures.
- Integrated Cancer Care Comprehensive oncology services including pathology, radiology, chemotherapy, and radiation coordination.
- Long-Term Follow-Up Care Structured postoperative monitoring, speech therapy, and survivorship programs for optimal recovery.
Conclusion
Hemiglossectomy is a critical surgical procedure for managing tongue cancer and other severe tongue pathologies. Although it may affect speech and swallowing, modern surgical and reconstructive techniques combined with rehabilitation therapies significantly improve functional outcomes. Early diagnosis, precise surgery, and comprehensive postoperative care are essential for successful recovery. CureU Healthcare is dedicated to delivering expert surgical care, compassionate patient support, and advanced rehabilitation services to help patients regain oral function and maintain quality of life after hemiglossectomy.
