A1 Refereed original research article in a scientific journal
Functional outcome after total and subtotal glossectomy with free flap reconstruction
Authors: Yanai C, Kikutani T, Adachi M, Thoren H, Suzuki M, Iizuka T
Publisher: WILEY
Publication year: 2008
Journal: Head and Neck
Journal name in source: HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
Journal acronym: HEAD NECK-J SCI SPEC
Volume: 30
Issue: 7
First page : 909
Last page: 918
Number of pages: 10
ISSN: 1043-3074
DOI: https://doi.org/10.1002/hed.20804
Abstract
Background. The aim of this study was to evaluate postoperative oral functions of patients who had undergone total or subtotal (75%) glossectomy with preservation of the larynx for oral squamous cell carcinomas.Methods. Speech intelligibility and swallowing capacity of 17 patients who had been treated between 1992 and 2002 were scored and classified using standard protocols 6 to 36 months postoperatively. The outcomes were finally rated as good, acceptable, or poor.Results. The 4-year disease-specific survival rate was 64%. Speech intelligibility and swallowing capacity were satisfactory (acceptable or good) in 82.3%. Only 3 patients were still dependent on tube feeding. Good speech perceptibility did not always go together with normal diet tolerance, however.Conclusions, Our satisfactory results are attributable to the use of large, voluminous soft tissue flaps for reconstruction, and to the instigation of postoperative swallowing and speech therapy on a routine basis and at an early juncture, (c) 2008 Wiley Periodicals, Inc.
Background. The aim of this study was to evaluate postoperative oral functions of patients who had undergone total or subtotal (75%) glossectomy with preservation of the larynx for oral squamous cell carcinomas.Methods. Speech intelligibility and swallowing capacity of 17 patients who had been treated between 1992 and 2002 were scored and classified using standard protocols 6 to 36 months postoperatively. The outcomes were finally rated as good, acceptable, or poor.Results. The 4-year disease-specific survival rate was 64%. Speech intelligibility and swallowing capacity were satisfactory (acceptable or good) in 82.3%. Only 3 patients were still dependent on tube feeding. Good speech perceptibility did not always go together with normal diet tolerance, however.Conclusions, Our satisfactory results are attributable to the use of large, voluminous soft tissue flaps for reconstruction, and to the instigation of postoperative swallowing and speech therapy on a routine basis and at an early juncture, (c) 2008 Wiley Periodicals, Inc.
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