Abstract
This report presents a case that was treated by salvage surgery for two recurrences of locally advanced resectable tongue cancer after superselective intra-arterial chemoradiation. The mandibular swing approach was required for total glossectomy and laryngectomy because there was very intense surgical scarring. Salvage surgery for patients after the failure of organ preservation after primary therapy is associated with higher morbidity and lower efficacy than primary surgery. Surgeons are occasionally unable to preserve the organs. Salvage surgery must be carefully considered after the failure of primary chemoradiation.