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  • Q&A with Australian Health Practitioners

    What evidence supports midline glossectomy (tongue base surgery)?

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  • Dr Nicholas M Phillips

    Ear Nose and Throat (ENT) Surgeon

    Dr Nicholas Phillips is a paediatric and adult ENT surgeon who has advanced training and subspeciality expertise in paediatric and adult nasal obstruction, snoring and … View Profile

    A 2015 systematic review and meta-analysis of 18 studies (522 patients) evaluating glossectomy techniques showed:

    • AHI reduced by 27.8 events/hr (average)

    • Epworth Sleepiness Scale improved by 5.5 points

    • Snoring improved by 5.6 points on a visual analogue scale

    • Lowest oxygen saturation (LSAT) improved by 7.7%

    • Complication rate 16.4%, with taste change (5.8%) and bleeding (4.2%) most common, usually temporary

    These findings support the use of midline glossectomy as an effective part of multilevel airway surgery.

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