Published: 2020-01-24

Endoscopic assisted resection of base of tongue lesion: a case report

Aishwarya Raj Pillai D., Kothegala C. Prasad, Anjali Pilakkilakkandiyil, Indu V. Gopinath, Brindha H. Subramani, Harshitha N. Gowda, Arjun Gupta


Surgery for the base of the tongue lesions can be challenging since this area is difficult to access and contains important neurovascular structures. External incision in the neck via an approach that varies from a transoral midline glossotomy approach to a lip-split mandibulotomy, which inevitably results in obvious scarring of the face and neck. Transoral robotic surgery can be considered for removal of these difficult neoplasms. But limitations of robotic surgery include the size and cost of the device, a learning curve, and safety concerns. Hence, alternative surgical approaches that allow for good exposure, complete tumour excision, low complication rates, low recurrence rates, and no postoperative neck scarring are preferred.


Base of tongue lesion, Endoscopic assisted, Tongue stitch

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Righi PD, Bade MA, Coleman JJ,Allen M. Arteriovenous malformation of the base of tongue: Case report and literature review. Microsurgery. 1996;17:706-9.

Ying YM, Zimmer LA, Myers EN. Base of Tongue Schwannoma: A Case Report. Laryngoscope. 2006;116:1284-7.

Alperin KM , Levine HL, Wood BG ,Tucker HM. Approach to and reconstruction for lesions of the posterior third of the tongue via midline labiomandibular glossotomy. Head Neck. 1984;6:744-50.

Nasri S, Oh Y, Calcaterra TC. Transpharyngeal Approach to Base of Tongue Tumors: A Comparative Study. Laryngoscope. 1996;106:945-50.

Spiro RH, Gerold FP, Strong EW. Mandibular “swing” approach for oral and oropharyngeal tumors. Head Neck. 1981;3:371-8.

Boudreaux BA, Rosenthal EL, Magnuson JS, Newman JR, Desmond RA, Clemons L, et al. Robot-Assisted Surgery for Upper Aerodigestive Tract Neoplasms. Arch Otolaryngol Head Neck Surg. 2009;135(4):397-401.

Qureshi SS, Chaukar DA, Pathak KA, Sanghvi VD, Sheth T, Merchant NH et al. Hemangioma of base of tongue. Indian J Cancer. 2004;41:181-3.

Atkins JH, Mandel JE, Mirza N. Laser ablation of a large tongue hemangioma with remifentanil analgosedation in the ORL endoscopy suite. ORL J Otorhinolaryngol Relat Spec. 2011;73:166-9.

Edgerton MT. The treatment of hemangiomas: with special reference to the role of steroid therapy. Ann Surg. 1976;183(5):517-32.

Bonet- Coloma C, Mínguez-Martínez I, Palma-Carrió C, Galan-Gil S, Penarroche-Diago M, Minguez-Sanz JM. Clinical characteristics, treatment and outcome of 28 oral hemangiomas in pediatric patients. Med Oral Patol Oral Cir Bucal. 2011;16:19-22.

Okoji VN, Alonge TO, Olusanya AA. Intra-tumoral ligation and the injection of sclerosant in the treatment of lingual cavernous hemangioma. Niger J Med. 2011;20:172-5.

Zheng JW, Wang YA, Zhou GY, Zhu HG, Ye WM, Zhang ZY. Head and neck hemangiomas: How and when to treat. Shanghai Kou Qiang Yi-Xue. 2007;16:337-42.

Vesnaver A, Dovsak DA. Treatment of vascular lesions in the head and neck using Nd: YAG laser. J Craniomaxillofac Surg. 2006;34:17-24.

Qureshi SS, Chaukar DA, Pathak KA, Sanghavi VD, Sheth T, Merchant NH, et al. Hemangioma of base of tongue. Indian J Cancer. 2004;41:181-3.

Slaba S, Braidy C, Sader RB, Hokayem N, Nassar J. Giant venous malformation of the tongue: The value of surgiflo. J Mal Vasc. 2010;35:197-201.

Kutluhan A, Bozdemir K, Ugras S. The treatment of tongue hemangioma by plasma knife surgery. Singapore Med J. 2008;49:312-4.

Liu D, Ma XC. Clinical study of embolisation of arteriovenous malformation in the oral and maxillofacial region. Chin J Dent Res. 2000;3:63-70.

Fan S, Zhang D, Chen W. Endoscopy-Assisted Resection of Benign Lesions on the Base of the Tongue via the Transoral Approach Using a Harmonic Scalpel. J Oral Maxillofac Surg. 2017;75(10):2242-7.