CPT® Code 41130

A glossectomy is a surgical procedure that involves the removal of a portion of the tongue, specifically less than one-half, which is referred to as a hemiglossectomy. This procedure is primarily indicated for the treatment of tongue cancer, where an incision is made to excise the cancerous lesion along with a margin of healthy tissue to ensure complete removal of malignant cells. In addition to cancer treatment, a glossectomy may also be performed to alleviate obstructions in the lower pharynx, address injuries to the tongue, or manage other medical conditions affecting the tongue's function or structure. The surgical approach typically involves making an incision in the tongue, excising the lesion, and repairing the resulting defect with sutures. In cases where the excision is more extensive, additional reconstructive techniques such as skin grafts or free flap grafts may be necessary to restore the tongue's appearance and function. The hemiglossectomy specifically entails the removal of one side or half of the tongue, which requires careful surgical access through an incision made under the mandible on the affected side. This procedure is complex and necessitates precise techniques to ensure proper healing and functionality post-surgery.