A partial glossectomy is an operation to remove part of your tongue.  This operation is carried out through your mouth, under general  anaesthetic, in the operating theatre. You will be asleep throughout  the operation.  

When you look inside your mouth after the operation you will notice  that a portion of your tongue where the tumour was is missing. Your  tongue edge may be repaired by stitching it with dissolvable stitches,  or it may left open to heal naturally.  

When will I be admitted for surgery? 

You will be asked to come to a pre assessment appointment before  your surgery where we will assess your fitness to have the operation.  Usually, you will be admitted either on the day or the afternoon before  the operation. You may need to come in to hospital earlier than this  if you have other medical conditions. You are likely to stay in hospital  for 12 – 48 hours after the  operation. The operation itself takes approximately 1 hour. 

Will I have a scar? 

This operation will not leave you with a scar on your face, but will  leave you with a scar on the area of your tongue that is affected.  Sometimes it is necessary to have the lymph glands in your neck removed to see if any cancer cells have spread there. In this instance  you will have a scar on your neck, which will be there for the rest of  your life but will fade over time. The scar will also be hidden in the  creases of your neck. (Please ask for the information leaflet about neck  dissections.) 

Will I be able to eat and drink after the operation? 

You may not be allowed to eat and drink for a few days after the  operation, so that everything can heal. You may be fed through a tube  during this time. The specialist will talk to you about the type of tube you may need and answer any questions you have about this.  

Once you are allowed to start eating and drinking again, the Speech  and Language Therapist may suggest starting on a soft or pureed diet.  Your tongue may be sore initially, so we usually suggest smooth, bland foods to start with. You may also need your drinks thickened with  special thickening powder. These changes to your diet will help you to  eat and drink safely. Over the following days and weeks, drinking and  eating will become steadily easier. 

Will it affect my speech? 

The effects on your speech will depend on how much of your tongue  has been removed. It can take a few months for your tongue to  recover. With exercises and careful attention to speech, most people  find they can be clearly understood when talking and can also manage  to use the telephone well. The Speech and Language Therapist will  offer you advice and support to help you adapt to any changes. 

What is the risk of complications and side-effects? 

Everyone having an operation on their tongue will experience some pain.  The doctors and nurses will make sure you have enough painkillers, either  by mouth or through a tube, to keep you comfortable. 

You may bleed a little from your tongue after the operation. This is  usually a very small amount and can be treated with mouthwashes.  Very rarely your surgeon may need to take you back to the operating  theatre to control a more severe bleed.

Infection is not common but it is important that you continue to brush  your teeth with a fluoride toothpaste as usual. We will also give you  with a special mouthwash to help keep your mouth clean. 

Will I need any other sort of treatment? 

You will be given the results (histology) of the operation about two  weeks after the surgery. The aim of the operation is to remove all the  cancer and a margin of healthy tissue around the edge, to reduce the  risk of cancer cells being left behind. This is not always possible due to  the position of the cancer and because we are not always able to see  tiny microscopic cancer cells that may have begun to form in some of  the normal tissue. The laboratory will be able to see these cells under  a microscope. These results, together with other factors, help the  doctors to decide whether you need any additional treatment, such as  radiotherapy.