Glossectomy “Geppetto” Technique
Daniel Deschler, MD, vice chair of academic affairs for otolaryngology-head and neck surgery at the Massachusetts Eye and Ear Infirmary in Boston, presented the case of a 52-year-old man with a slow-growing lesion on the right lateral tongue that was 1.9 cm by 1.1 cm by 9 mm.
A biopsy found it was moderately differentiated squamous cell carcinoma. A computed tomography (CT) scan found there was no deep extension to the midline. There was no nodal involvement.
Dr. Deschler performed a partial glossectomy, with selective neck dissection, even though this was an N0 tumor, because the evidence shows there’s a benefit in doing so in these cases (N Engl J Med. 2015;373:521-529). For the Geppetto technique, named after the fictional woodcarver who crafted Pinocchio, Dr. Deschler offered these suggestions: