Table 1 Description of patients with hypoglossal nerve IONM
Gender, age | Diagnosis | Surgery | Final outcome |
|---|---|---|---|
Male, 6 years | Enlarged neck. Hemangiolymphangioma of the right side of neck, floor of mouth and tongue | BND and floor of mouth resection. Previously injured right cranial nerve XII. Second intent to resection | Resection incomplete, since the right nerve was previously injured in a first attempt to resect the tumor. Left cranial nerve XII was left intact with ipsilateral tongue mobility |
Male, 8 years | SCC of the anterior oral tongue | Tracheostomy, BND, anterior glossectomy and floor of mouth resection. Reconstruction RFFF | Decannulated 1 month after surgery. Posterior tongue mobility, and able to swallow, speak and articulate |
Male, 22 years | Recurrent SCC of the left tongue. Underwent right hemiglossectomy of the right tongue 5 years prior | Tracheostomy, BND, left hemiglossectomy and floor of mouth resection. Reconstruction RFFF | Decannulated 2 weeks after surgery. Remaining oral tongue mobility, slight movement of the RFFF, and able to swallow, speak and articulate |
Female, 68 years | Obstructing macroglossia resulting from amyloidosis, secondary to multiple myeloma. Sleep apnea. Not able to swallow solid foods | Tracheostomy, BND, and anterior and posterior midline extended glossectomy | Tongue mobility and able to swallow. Improved sleep apnea. Patient died owing to complications treating the multiple myeloma |