Improved Early Stage (T1/2) #Oral Tongue Cancer Medial Pathology Margins Using Horizontal Mattress Suture Technique by Nilesh Vasan in BJSTR
Abstract
Objectives: Description of a novel surgical technique for partial glossectomy in oral tongue cancer patients with comparison of pathologic
margins to conventional technique.
Methods: Patients with oral tongue cancer underwent partial
glossectomy using a new horizontal mattress surgical technique developed
by the senior author and were compared retrospectively to an age, sex
and stage matched cohort. Anterior, posterior, and medial pathology
margins were compared utilizing the student’s t-test for normally
distributed variables, and Wilcoxon-Mann-Whitney test for variables
which
were not normally distributed.
Results: 10 patients underwent partial glossectomy with the
new technique. The mean medial pathology margin was significantly
greater
in the new technique group (1.40 cm vs 0.88 cm, p=0.04). There were no
significant differences in anterior margin or posterior margin, age,
tumor size or depth of invasion.
Conclusions: The new surgical technique using horizontal mattress sutures for dissection guidance and specimen orientation yielded
improved medial pathology margins compared to conventional technique.
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