Lee D Y, Ryu Y-J, Hah J H, Kwon T-K, Sung M-W, Kim K H
Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul, Korea.
J Oral Rehabil. 2014 Oct;41(10):754-8. doi: 10.1111/joor.12193. Epub 2014 Jun 10.
There have been limited studies of subjective tongue function over long-term follow-up in spite of swallowing and articulation disorders are common complications of glossectomy. To assess long-term subjective swallowing and articulation function after partial glossectomy. A total of 63 patients with the mobile tongue cancer who underwent partial glossectomy without reconstruction were interviewed to score their swallowing and articulation function on a 100-point scale. The relation of this subjective scoring to the perioperative data was subjected to multivariate analysis. The mean patient age was 53·4 (19-81) years, and the mean follow-up duration was 78·9 (14-277) months. Mean swallowing and articulation function score was 87·7 ± 6·1 and 88·6 ± 5·4. Age, follow-up duration, T stage and resection volume were significantly correlated with swallowing function (P = 0·026, 0·029, 0·016, 0·002, respectively); follow-up duration was correlated with articulation function (P = 0·039). Patients who undergo partial glossectomy without reconstruction generally demonstrate good function on long-term follow-up. Subjective dysfunction was correlated with larger resection volume, older age and shorter follow-up duration.
尽管吞咽和发音障碍是舌切除术常见的并发症，但对主观舌功能进行长期随访的研究却很有限。为了评估部分舌切除术后的长期主观吞咽和发音功能。对63例接受了未重建的部分舌切除术的活动期舌癌患者进行了访谈，以100分制对他们的吞咽和发音功能进行评分。对这种主观评分与围手术期数据的关系进行了多变量分析。患者的平均年龄为53.4（19 - 81）岁，平均随访时间为78.9（14 - 277）个月。吞咽和发音功能的平均评分为87.7±6.1和88.6±5.4。年龄、随访时间、T分期和切除体积与吞咽功能显著相关（分别为P = 0.026、0.029、0.016、0.002）；随访时间与发音功能相关（P = 0.039）。接受未重建的部分舌切除术的患者在长期随访中通常表现出良好的功能。主观功能障碍与更大的切除体积、更高的年龄和更短的随访时间相关。
