24 0

Long-term functional outcomes after resection of tongue cancer: determining the optimal reconstruction method

Title
Long-term functional outcomes after resection of tongue cancer: determining the optimal reconstruction method
Author
지용배
Keywords
Tongue cancer; Glossectomy; Reconstruction; Speech; Swallowing; Functional outcomes
Issue Date
2017-10
Publisher
SPRINGER
Citation
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, v. 274, no. 10, page. 3751-3756
Abstract
The appropriate tongue reconstruction method is critical for better functional outcomes. The aim of this study was to determine the optimal reconstructive method for restoring postoperative function based on the extent of resection. We retrospectively reviewed 43 patients with lateral oral tongue cancer who underwent glossectomy between January 2010 and October 2014. Tongue mobility, articulation, verbal diadochokinesis, speech intelligibility and swallowing outcomes were assessed 2-3 years postoperative and were analyzed according to resected tongue volume and the method of reconstruction. In partial glossectomy cases, the secondary intention group had better function in tongue mobility, articulation, and speech intelligibility (p < 0.001 for all) than the free flap reconstruction group. In contrast, in hemi-glossectomy cases, the free flap reconstruction group had better tongue mobility, articulation, verbal diadochokinesis and speech intelligibility (p < 0.05 for all) than the secondary intention group. There was no significant difference in swallowing outcome between the secondary intention and flap reconstruction groups in both partial glossectomy and hemi-glossectomy cases. In conclusion, secondary intention appears to be the most appropriate option after partial glossectomy. However, flap reconstruction is necessary to restore tongue volume and function in patients who undergo a resection of more than half of the tongue volume.
URI
https://link.springer.com/article/10.1007%2Fs00405-017-4683-8http://repository.hanyang.ac.kr/handle/20.500.11754/115853
ISSN
0937-4477; 1434-4726
DOI
10.1007/s00405-017-4683-8
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE