Open Access
Factors influencing postoperative speech function of tongue cancer patients following reconstruction with
Y. Matsui,K. Ohno,Y. Yamashita,Koji Takahashi +3 more
- 01 Jan 2007
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TL;DR: In this paper, the authors investigated postoperative speech function in tongue cancer patients following reconstruction with fasciocutaneous/myocuts, to clarify the factor(s) influencing outcome.
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Abstract: This study investigated postoperative speech function in tongue cancer patients following reconstruction with fasciocutaneous/myocutaneous flaps, to clarify the factor(s) influencing outcome. Eighty-one patients, enrolled from 11 Japanese institutions, were classified into three groups by the site of resection: lateral (N = 51), anterior (N = 17) and combined (N = 13). The lateral group was dividedintothree subgroupsandtheanteriorgroupintotwosubgroupsbythesizeof resection. Mandibulectomy had been performed in 43 patients and radiation therapy in 24 patients. Reconstruction was accomplished by radial forearm flap (N = 50), rectus abdominis myocutaneous flap (N = 18), pectoralis major myocutaneous flap (N = 11), latissimus dorsi myocutaneous flap (N = 1) or scapulaflap (N = 1). Speech function was evaluated with two objective tests and three self-reporting questionnaires. The influence of tongue mobility, age at operation and examination, time interval to examination, and type of flap reconstruction on the functional results was also investigated. Better results were obtained with lateral type resections, smaller excisions, greater tongue mobility, younger patients and longer interval to examination. Mandibulectomy and radiation therapy were negative factors. Type of flap reconstruction had no effect on functional outcome. A treatment method with less functional interference should be developed, particularly for patients anticipated to be in poor functional state postoperatively.
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Citations
Microvascular free flap reconstruction versus palatal obturation for maxillectomy defects.
TL;DR: Palatal obturators and microvascular free flaps are both used to treat patients with maxillectomy defects, however, the optimal technique remains controversial.
214
Speech and swallowing following tongue cancer surgery and free flap reconstruction--a systematic review.
Lisetta Lam,Nabil Samman +1 more
TL;DR: The use of free flaps in the immediate reconstruction of the tongue after tumor resection should aim at the maintenance of the mobility of the residual tongue and restoration of tongue bulk in order to optimize the recovery of speech and swallowing function.
148
Long-term functional outcomes after resection of tongue cancer: determining the optimal reconstruction method.
Yong Bae Ji,Yong Hee Cho,Chang Myeon Song,Youn Hwan Kim,Jeong Tae Kim,Hee Chang Ahn,Kyung Tae +6 more
TL;DR: Primary 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.
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Optimizing Outcomes following Total and Subtotal Tongue Reconstruction: A Systematic Review of the Contemporary Literature.
Oscar J. Manrique,Hyuma A. Leland,Claude-Jean Langevin,Alexander Wong,Joseph N. Carey,Pedro Ciudad,Hung-Chi Chen,Ketan M. Patel +7 more
TL;DR: Tongue reconstruction is dictated by the amount of soft tissue resection, and many patients continue to experience pain after surgery, but patient motivation, family support with physician, and speech therapist follow‐up are associated with improved QoL scores.
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Compliance with quality assurance measures in patients treated for early oral tongue cancer
Amy C. Hessel,Mauricio Moreno,Ehab Y. Hanna,Dianna B. Roberts,Jan S. Lewin,Adel K. El-Naggar,David I. Rosenthal,Randal S. Weber +7 more
TL;DR: The objective of this study was to identify measurable parameters that provide quality data for assessing how well cancer care adheres to accepted treatment guidelines and is delivered to any given patient with oral tongue cancer.
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References
Functional status and coping in patients with oral and pharyngeal cancer before and after surgery.
TL;DR: Functional status and coping, measured by the sickness impact profile (SIP) and sense of coherence (SOC) scale, in a group of patients treated by surgery for oral or pharyngeal cancer are described.
131
Concerns, coping and quality of life in head and neck cancer patients.
Santosh K. Chaturvedi,Ashok M. Shenoy,Konasale M. Prasad,S. M. Senthilnathan,B. S. Premlatha +4 more
TL;DR: Most subjects with oral cancer significantly more often had concerns about current illness, subjective evaluation of health, eating and chewing, social interactions, pain and disfigurement, and inability to do things, which would improve their quality of life.
108
Speech, deglutition and life quality after intraoral tumour resection. A prospective study.
TL;DR: A significant increase in life quality at the end of the study period occurred only in the group of patients without substantial reduction of intelligibility of speech, while no significant improvement of postoperative life quality of patients with more severe deterioration of speech quality was found.
100
Free forearm flap in oral reconstruction. Functional outcome.
TL;DR: Functional outcome with free radial forearm flap reconstruction was favorable for three of five subgroups of oral and oropharyngeal cancer patients, and Qualitatively different functional profiles emerged for subgroups based on resection site.
84
Swallowing and speech function after intraoral soft tissue reconstruction with lateral upper arm free flap and radial forearm free flap.
Iwao Hara,Nils-Claudius Gellrich,Jay S. Duker,Ralf Schön,O. Fakler,R Smelzeisen,T. Honda,O Satoru +7 more
TL;DR: It is concluded that the LUFFs are superior to RFFFs because they can be closed primary and the incidence of donor site morbidity is slight.
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