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At least 109 records · Page 6Linked to original sources
PubMed1996

[Postoperative swallowing function in tongue and oral floor cancer patients reconstructed with a recto-abdominal myocutaneous free flap after glossectomy--quantitative assessment of reconstructed tissue movement].

We examined the postoperative swallowing function of 12 tongue and oral floor cancer patients reconstructed with a recto-abdominal myocutaneous free flap after glossectomy. On the basis of the resection site, the present cases were classified into either anterior type or lateral type. Subjective evaluation of postoperative swallowing function was obtained from self-reports from patients. The movement of the reconstructed tissue was evaluated videofluorographically during swallowing, by tracking the movement of two small pellets temporarily attached to the anterior and central portions of the reconstructed tongue. The trajectory of the two pellets and the selected point of the hyoid bone were recorded together with the distance between the plate and the tongue dorsum, and between the posterior pharyngeal wall and the tongue base. Using a personal computer, a quantitative study of the video images was performed. The results were summarized as follows. 1) The movement pattern of the reconstructed tissue was generally saccadic rather than smooth. It was suggested that the swallowing pattern of the patients was different to that of normal controls. 2) Postoperative swallowing function was poorer in cases of the anterior type when compared to the lateral type. 3) In general, cases which showed relatively wide movement range appeared to achieve subjectively satisfactory swallowing function.

Adult↗
PubMedDate not supplied

[Transverse glossectomy for tongue cancer treatment].

INTRODUCTION: Standard care of patients with oral tongue-invasive squamous cell carcinoma in early stages is local resection and neck dissection. Traditionally, tumor resection was performed with hemiglossectomy (tongue resection in lingual long axis), which implied morbidity for deglutition and speech. Although surgical margins are sufficient, they are usually larger than necessary. OBJECTIVE: To know functional results and surgical margins in patients with T1-T2 oral tongue cancer submitted to transverse glossectomy (TG). MATERIAL AND METHODS: We analyzed charts of patients with T1-T2 oral tongue squamous cell carcinoma treated by TG during a 2-year period. We studied surgical margins, deglutition, speech intangibility, performance status and patient satisfaction. RESULTS: We included 20 patients: 12 women and eight men, with mean age of 45 years. Tumor-thickness mean was 8 mm; 19 patients showed free tumor margins in definitive histology study with mean of 1.8 cm three-dimensionally. In one patient, frozen sections were free-of-tumor, but definitive study showed a microscopic area of squamous cell carcinoma in surgical margin. All patients preserved > 50% of oral tongue and all showed lingual tip deviation and short tongue. None required nasogastric tube for feeding and speech was intelligible in all patients. CONCLUSIONS: TG provided sufficient surgical margin in all patients in this series without important morbidity and with good functional result; thus, TG is an alternative to classic vertical hemiglossectomy for patients in early stages of tongue mobile cancer.

Carcinoma, Squamous Cell↗
PubMed1990

Total and subtotal glossectomy: function after microvascular reconstruction.

Twelve patients with advanced carcinoma of the floor of the mouth and tongue were treated with total (five patients) or subtotal (seven patients) glossectomy, partial mandibulectomy, and immediate reconstruction with the microvascular composite groin flap. The osteomusculocutaneous groin flap was used in eleven patients, and the osteomuscular flap was used in one patient. The groin musculocutaneous or muscle flap was designed to resemble the shape of the tongue for dynamic food transport, improved swallowing, and acceptable speech. Eight of the 12 patients who survived more than 1 year were evaluated for speech and swallowing. Eight patients were able to speak intelligibly, six patients could tolerate a soft/pureed diet, and two patients were limited to fluids. Cinefluorographic swallow studies using semisolid contrast material showed voluntary active intraoral transport and propulsive pharyngeal emptying without aspiration in six patients with complete flap to palate contact; the remaining two patients were unable to move the intraoral contrast material effectively for swallowing because of poor palatal contact.

Adult↗
PubMed1987

[Long-term results of glossectomies].

Analysis of results of a series of marginal glossectomies, performed for orthodontic or orthopedic indications over the last 10 years, showed sustained improvement of alveolar process inclination with practically inexistant functional or psychologic sequelae.

Adolescent↗
PubMed1985

[Value and results of glossectomy in open bite].

Partial glossectomy is an important part of the treatment of a number of forms of apertognathia, provided it is performed wisely with a rigorous technique (i.e. with sufficient resection and adapted to the lesions produced by the macroglossia). It can obtain favourable and constant results.

Adolescent↗
PubMed1985

[Total glossectomy with preservation of the larynx and immediate reconstruction. Apropos of 27 cases].

Total glossectomy with preservation of larynx was performed in 27 patients with lesions affecting the whole tongue and developing from the base, the tonsilloglottal recess, of the junction zone and of the posterior wall, or from the mobile tongue. Results in patients followed up for more than one year (27 cases) showed: 11 survivors only, with 12 deaths from local, regional or metastatic recurrence. Among the 11 survivors, 7 presented very satisfactory functional rehabilitation--they no longer required tracheotomies, were free from pain and fed themselves without problem with mixed types of food. Phonation could be understood and they were reasonably autonomous. When tumoral excision is possible in patients with extension not evident as palpable glands, this operation appears quite justified for patients who are psychologically motivated and very insistent on some therapy, the modalities and risks of which have been exposed.

Adult↗
PubMed1983

Feeding device for glossectomy patients.

Instructions are provided for making a feeding spoon from a plastic syringe for use by patients who have had a glossectomy. This adaptation may be accomplished using only a hacksaw blade and sandpaper. Such a device may be indicated for patients who have had at least 60% of their tongue resected, but who are not at significant risk of aspiration.

Eating↗
PubMed1980

The effects of glossectomy on intelligibility of speech and oral perceptual discrimination.

The effects on the intelligibility of speech and oral perceptual ability after glossectomy were studied in 20 patients. The intelligibility, rate of speech, and oral form discrimination ability were measured as they varied by the extent of surgical ablation. The results indicated that speech and oral discrimination ability are more severly impaired in patients who undergo more extensive surgical excision. The rate of speech of most of the patients was slower than normal. The results were interpreted to reflect the value of residual oral tissue. The amount of lingual and adjacent tissue to be excised may be regarded as a rough index of the effect such surgery will have on oral communication.

Adult↗
PubMed1982

Glossectomy: a case report.

A 27-year-old man, a law student, underwent partial glossectomy, right hemimandibulectomy and radical neck dissection due to recurrent carcinoma of the oral cavity. These surgical procedures resulted in severe swallowing and speech difficulties for which he was treated by tube feeding and speech therapy, respectively. Emphasis in therapy was placed on compensatory articulator techniques for the improvement of speech intelligibility. Those adaptive tongue stump, labial, and palato-pharyngeal compensations which were employed are discussed. After. 9 months of speech therapy, he was judged to have achieved fair-to good speech intelligibility, and was able to continue law school. At the time of this writing, he was practicing law.

Adult↗
PubMed1982

[Recovery total glossectomy with immediate reconstruction by means of a musculocutaneous flap : functional results and perspectives (author's transl)].

A surgical procedure is proposed for treating recurrent or non-sterile cancer of the tongue whenever satisfactory excision of the tumor can be accomplished. The technique involves a recovery total glossectomy associated, as shown to be necessary following its application in 3 cases, with a transmaxillary buccopharyngectomy. This operation has become valid following the use of musculocutaneous flaps, which enable reconstruction of the tongue with good quality functional results.

Glossectomy↗
PubMed1993

A re-evaluation of radical total glossectomy.

Total glossectomy, with or without accompanying total laryngectomy, in many respects represents the radical extreme of the treatment spectrum for oral cavity/oropharyngeal carcinoma. It necessarily impacts greatly upon the functions of speech and deglutition and thereby upon the patient's quality of life. The candidates for this surgical procedure are, however, already severely debilitated with respect to these functions due to the extent of their disease and tumor-induced pain. When considering the alternatives, radical surgery becomes more acceptable, for, at the very least, it offers substantial palliation. This article reviews the current literature regarding the procedure itself, potential outcomes and presents a small case series of reconstructive options.

Aged↗
PubMed1993

Orthognathic surgical approach and partial glossectomy to a skeletal 3 adult open bite.

Combined orthodontic treatment with orthognathic surgery and partial glossectomy were simultaneously performed in an adult male patient with mandibular prognathism and open bite from the lower right to the left first molars. Total active treatment period was 15 months. During the retention period, a tooth positioner was given to obtain proper interdigitation from set-up models. The post-surgical occlusion has been stable without any complication of the mandible and the tongue.

Adult↗
PubMed1996

Prosthetic management for edentulous glossectomy patients.

The prosthetic treatment of edentulous glossectomy patients is very difficult. The tongue defect results in oral dysfunction and affects the stability of the mandibular denture. The appropriate denture form and occlusion can be established by using the modified functional impression technique. Through the use of x-ray television and an image-processing system in clinical experiments, it was shown that a wide buccolingual table, an occlusal table height matched to that of the tongue body, and close adherence of the tongue and the lingual flange are effective means of preventing food from dropping to the oral floor, keeping the food on the occlusal table, and crushing the food.

Denture Bases↗
PubMed2000

Eight years of follow-up--uvulopalatopharyngoplasty combined with midline glossectomy as a treatment for obstructive sleep apnoea syndrome.

In 22 patients with obstructive sleep apnoea, uvulopalatopharyngoplasty was combined with a midline glossectomy of the dorsum of the tongue. The body mass index (BMI) was normal in 13 cases and abnormal in 9. Daytime polysomnography was performed in all cases both preoperatively and 1 year postoperatively. In 16 patients another daytime polysomnography was performed after 8.4 years. The patients also answered a questionnaire 11, 33, 43 and 98 months postoperatively. The apnoea index (AI) was reduced in 82% of cases 12 months postoperatively, being reduced by 50% in 59% of cases and normalized in 32%. After 8.4 years a reduction in the AI was found in 75% and a normal AI in 25% of patients. Subjectively speaking, 95% of the patients were satisfied with the operation at the first follow-up, and the figure was 86% at the fourth follow-up; 64% did not suffer from sleep apnoea at the first follow-up as compared with 46% at the latest follow-up. There was an increase in subjective symptoms postoperatively until the third follow-up. After that the symptoms became stable. There were no immediate postoperative complications, and only minor long-term problems. The duration of postoperative care at the hospital was 2 days. No relationship was found between BMI and outcome.

Adult↗