What happens when tongue cancer is removed from the tongue?

                                  If you don’t look closely at the photos, you may not be able to guess where this patient’s mouth has been operated on. Let me tell you, it’s the tongue. Ah ……? You may feel surprised, is this really true? Yes, the tongue can really be “done” in such a way that it can be faked.  This is an aunt Liu (a pseudonym) from a place in eastern Guangdong, the left tongue edge of the ulcer has not been good for three months, always hot burning pain. It was only when she went to the hospital that she learned that she had “tongue cancer”. What? Tongue cancer? Can cancer grow on the tongue? Auntie Liu, who was puzzled, heard the doctor say that half of her tongue had to be cut off during the operation, but she refused to do it. “How can I speak and eat in the future?” Auntie Liu responded anxiously. At Auntie Liu’s insistence, the local doctor only did the local excision of the tumor and arranged for her to undergo electrotherapy to continue to kill the tumor. However, in less than three months, a cauliflower-like lump grew in the original place and the pain became more intense than before. The family brought Auntie Liu to Sun Yat Sen Memorial Hospital of Sun Yat-sen University, where Professor Yang Zhaohui of the Department of Stomatology found that the tumor was bigger and deeper than the first one, and if it was not completely removed as soon as possible, it would be life-threatening. Auntie Liu, who loves beauty, fell into deep anxiety when she thought of all the possibilities after surgery. In order to cure the disease and “cure the heart”, Prof. Yang and Dr. Zhang’s surgical team developed a “perfect” repair plan for Auntie Liu, i.e., adopting the latest international technique of piercing flap to repair Auntie Liu’s tongue by taking the superficial tissue of the thigh. This was done in such a way that the surgical scar could be concealed and the tongue could be repaired precisely. The surgery was divided into two groups: tumor removal and repair and reconstruction. In only 5 hours, the malignant tumor was removed and a new tongue was reconstructed. After the surgery, Auntie Liu was discharged from the hospital in a week under the careful care of the medical staff. 2 months have passed, and Auntie Liu, who has made a follow-up appointment, is happy to tell Professor Yang about all the interesting things during her recovery. Now Auntie Liu is eating smoothly, speaking clearly and enjoying her life in her old age with confidence.  According to Yang Zhaohui, the concept of perforator flap started in the late 1980s and is now the most popular repair technique in the international field of reconstructive surgery. It can be made on demand according to the type of defective tissue, in line with the reconstruction principle of “what is missing is what is needed”. The most prominent features of the technique are precise tissue repair, minimally invasive surgery, concealed scar, rapid postoperative recovery and better repair results than traditional surgical methods. However, this technique is very delicate and requires extensive experience in flap fabrication and skillful microsurgery. In addition, the source of the previous repair tissue was concentrated on the forearm, chest and back, which resulted in obvious postoperative scarring and poor aesthetic results. The lateral thigh tissue used this time is similar in texture and color to that of the maxillofacial tissue, which can provide abundant tissue types to meet the repair needs of various traumas, and the scar is hidden and does not affect the motor function of the leg, which has become the preferred solution for soft tissue repair and reconstruction.  Also according to Director Chen Weiliang of the Department of Stomatology, the global cancer statistics in 2010 showed that the incidence of oral cancer is high, accounting for 3% of the whole body malignant tumors and ranking 8th among all 26 major malignant tumors counted, with more than 500,000 new cases each year. Among oral cancers, tongue cancer is the most common, accounting for 32.3% of oral cancers. Tongue cancer is often characterized by persistent ulcers as the main symptom, along with pain, numbness, limited tongue movement, and life-threatening conditions such as swallowing, breathing difficulties, and even severe bleeding in advanced stages. There are many factors that cause oral cancer. Among them, adverse physical stimulation and chemical stimulation are the main factors. Physical irritation mainly includes repeated friction between sharp edges of residual roots and crowns and poorly restored denture. Chemical stimulation is mainly long-term exposure to carcinogenic chemicals, betel nut chewing, etc. Therefore, to keep the oral hygiene and reduce the bad stimulation is the effective means to keep away from “tumor king”.