2022 AMI Online Salon

Squamous Cell Carcinoma of the Tongue

Project Details

  • Entrant Name:  Ethan Geehr
  • Client: Law Firm
  • Copyright: Ethan Geehr, 2021
  • Medium/software used: Corel Painter
  • Final presentation format: Print (30×40) and digital file
  • Primary Audience: Jury

Project Description

The plaintiff presented to the dentist multiple times over several years after root canal surgery complaining of pain on the lateral aspect of his tongue. His dentist passed his complaints off initially as related to his root canal, then to biting his tongue, then to a small ulcer before ultimately sending him for an MRI. The MRI revealed extensive squamous cell carcinoma of the tongue extending across the midline of the tongue. The extensive cancer required a near total glossectomy which left him with a non-functional tongue and no sense of taste. The first exhibit shows how the tongue appeared and the extent of cancer when the dentist finally took action to address the plaintiff’s symptoms. The next two exhibits broadly depict the surgery to remove the cancer to allow the surgeon to summarize what is done in a near total glossectomy. It identifies the soft tissue removed in the neck dissection, the extent of the floor of the mouth resected, the extent of tongue removed and the reconstruction with donor skin graft. The last exhibit contrasts  a near-total resection with a hemiglossectomy which would’ve resulted in a better result had the cancer been detected earlier.