Description Language resection
Глоссэктомия – хирургическое удаление всего или части языка. The operation has the following:
- Частичная – удаление части языка;
- Резекция половины языка – удаляется одна сторона language;
- Полная резекция – удаление всего языка.
Reasons for resection language
This operation is used to treat cancer language, when other treatments have been unsuccessful.
Possible complications of removing language
No operation can not guarantee the absence of risk. Before, how to perform glossektomiyu, you need to know about possible complications, which may include:
- Bleeding language;
- Infection;
- Blocking airway edema and hemorrhage;
- Swallowing problems and fluid intake;
- Inability to speak;
- Weight loss;
- Recurrence of cancer.
Some factors, that may increase the risk of complications:
- Lung disease;
- Large tumor size;
- Malnutrition;
- Alcoholism;
- Smoking;
- Previous radiation therapy;
- Предыдущая химиотерапия;
- Diabetes.
We need to discuss these risks with your doctor before surgery.
How is the removal of the language?
Preparation for the procedure
Before removing the language or doctor will prescribe the following:
- Medical checkup;
- Ask about your medical history, including whether you smoke or drink alcohol;
- Биопсия языка – кусочек языка отрезается и отправляется в лабораторию для тестирования, to diagnose cancer;
- Рентген или компьютерная томография грудной клетки – тесты, are photographed structure intrathoracic;
- Компьютерная томография полости рта и шеи – типа рентгена, which uses computer, to make pictures of structures inside the body.
On the eve of the operation:
- Consult your doctor about the drugs taken. A week before surgery you may be asked to stop taking some medicines:
- Anti-inflammatory drugs (eg, aspirin);
- Blood thinners, such as clopidogrel (Plaviks) or warfarin;
- We need to organize a trip for the operation and back home;
- The night before the operation can eat a light meal. Do not eat or drink anything after midnight.
- If you have diabetes, Consult a physician, If you need to take medication.
Anesthesia
During the operation using general anesthesia, which blocks the pain and the patient support in sleep.
Procedure glossektomii
First performed a tracheotomy, to allow you to breathe during and after surgery. When tracheotomy hole is created outside of the neck into the trachea. The tube is inserted into the hole, through which you can breathe. Usually, the procedure is temporary.
If it must be removed of the tongue, the doctor removes the cancer in it. The rest of the language will be sewn so, that it had no opening. Sometimes it will be used by a small skin graft from, to fill this hole.
If you must remove all language, It conducted a complex operation. The doctor removes the diseased tongue. There will also be removed with a piece of leather wrist, which will place sewn remove language. Blood vessels are connected to the transplant. This is to ensure blood flow. Sometimes lymph nodes in the neck region also need to remove.
How long will glossektomiya?
Several hours.
Глоссэктомия – будет ли это больно?
Anesthesia will prevent pain during surgery. You will have pain during recovery. In this case, the doctor prescribes pain medication.
The average hospital stay
7-10 days.
Care after the removal of the language
Care in a hospital
During recovery in the hospital, you can get the following help:
- Oxygen through the tube to the nose in the first 1-2 days after surgery;
- Питание через трубку – если вы в состоянии глотать, You can get drinks and pureed food. If carried out a total glossektomiya, perhaps, потребуется установка постоянной трубки для кормления через желудок;
- Will intravenous fluids and medications;
- It is necessary to wear special shoes or socks, to prevent blood clots. You also need as early as possible to start walking;
- We need to breathe deeply and cough 10-20 times each hour (during the first few days), that will reduce the risk of pneumonia.
Besides, your doctor may prescribe:
- The work with a speech therapist, to learn to speak and swallow after the operation;
- Начало или продолжение лучевой терапии для лечения рака.
Home Care
When you return home, Follow these steps:, to ensure the normal recovery:
- It should gargle several times a day, to prevent infection;
- Take antibiotics as prescribed;
- Take pain medicine, to ease the discomfort;
- We need to gradually move to receive regular food,if possible;
- We need to continue to work with a speech therapist;
- Be sure to follow your doctor's instructions.
Communication with the doctor after the removal of the language
After returning home, you need to see a doctor, If the following symptoms:
- Signs of infection, including fever and chills;
- Difficulty swallowing or choking on food or liquids;
- Swelling, bleeding or discharge from mouth;
- Pain and / or swelling of the legs, calves and feet;
- Problems with urination;
- Cough, breathlessness, chest pain, or severe nausea or vomiting;
- Increased pain;
- Any other worrisome symptoms.