Functional outcome after total and subtotal glossectomy with free flap reconstruction

Yanai, Chie; Kikutani, Takesi; Adachi, Masatosi; Thoren, Hanna; Suzuki, Munekazu; Iizuka, Tateyuki (2008). Functional outcome after total and subtotal glossectomy with free flap reconstruction. Head & neck - journal for the sciences and specialties of the head and neck, 30(7), pp. 909-918. New York, N.Y.: J. Wiley 10.1002/hed.20804

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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. Head Neck, 2008.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Craniomaxillofacial Surgery

UniBE Contributor:

Thoren, Hanna Agneta and Iizuka, Tateyuki

ISSN:

1043-3074

ISBN:

18302257

Publisher:

J. Wiley

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:56

Last Modified:

08 Jun 2016 10:43

Publisher DOI:

10.1002/hed.20804

PubMed ID:

18302257

Web of Science ID:

000257480700013

URI:

https://boris.unibe.ch/id/eprint/23811 (FactScience: 44488)

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