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Πέμπτη 19 Αυγούστου 2021

Long-term functional outcomes and quality of life after partial glossectomy for T2 squamous cell carcinomas

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Braz J Otorhinolaryngol. 2021 Jul 30:S1808-8694(21)00132-4. doi: 10.1016/j.bjorl.2021.06.009. Online ahead of print.

ABSTRACT

INTRODUCTION: Partial glossectomy and reconstruction strategy for malignant tongue tumors influences speech and swallowing.

OBJECTIVE: The aim of this retrospective study was to evaluate long-term functional outcomes after partial glossectomy for pT2 mobile tongue carcinomas with a maximum dimension between 2 and 3 cm. Different reconstruction strategies (with or without pedicled flap) were compared.

METHODS: Twenty-two patients with at least 12 months followup were included. Clinician-based and self-reported instruments were used to analyze tongue motility, speech intelligibility and articulation, swallowing, and quality of life.

RESULTS: Patients with a higher tongue motility had better articulation and lower dysphagia. Avoiding pedicled flap reconstruction seemed to guarantee lower impairmen t of speech and swallowing. Worse functional outcomes induced a lower quality of life.

CONCLUSION: Partial glossectomy results in tongue motility impairment and consequently alterations of oral functions. Since the type of reconstruction impacts long-term outcomes, it should be adequately planned before surgery.

PMID:34407916 | DOI:10.1016/j.bjorl.2021.06.009

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