Description of the Procedure
You will have a
to allow you to breathe during and after surgery. This creates an opening from the outside of your neck to your windpipe. A tube is inserted through the opening to allow for air flow. It is usually temporary.
If part of the tongue needs to be removed, the doctor will remove this cancerous section. The remaining area of the tongue will be sewn so that there is no hole. Sometimes, a small graft of skin will be used to fill the hole. This skin graft will then be sewn into place.
If the entire tongue needs to be removed, this is a more complicated surgery. The doctor will remove the diseased tongue. A piece of skin from your wrist will also be removed. This skin graft will be placed in the hole left by the tongue. Blood vessels will also be attached from any remaining tongue to the graft. This is to ensure blood flow.
Occasionally a new tongue will be constructed from tissue removed from the thigh, forearm, or chest.
Sometimes the lymph nodes in the neck will also need to be removed.
At the Hospital
While recovering at the hospital, you may receive the following care:
- Supplemental oxygen for the first 1-2 days
- Fluids and medications will be given through an IV.
- Special boots or socks to help prevent blood clots—You will also be encouraged to get out of bed as soon as possible.
Instructions to breathe deeply and cough 10-20 times every hour for the first few days—This will decrease the risk of
- Nutrition through a tube—When you are able to swallow, you will be able to have drinks and pureed food. If a total glossectomy is done, you may need a permanent feeding tube in your stomach.
In addition, your doctor may have you:
- Work with a speech therapist to learn to speak and swallow after surgery
to treat the cancer if it had not been given before
During your stay, the hospital staff will take steps to reduce your chance of infection, such as:
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
There are also steps you can take to reduce your chance of infection, such as:
- Washing your hands often and reminding your healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
When you return home, do the following to help ensure a smooth recovery:
- Gargle several times a day to prevent infection.
- Take antibiotics as prescribed.
- Take pain medication to ease discomfort.
- Slowly resume your normal diet if you are able to swallow effectively.
- Continue to work with a speech therapist.