Nguyen Khoi Anh, Bui Truong Xuan, Van Nguyen Hue, Wein Richard O
Pham Ngoc Thach University of Medicine, Viet Nam.
Oncology Hospital, Ho Chi Minh City, Viet Nam.
Am J Otolaryngol. 2018 May-Jun;39(3):317-320. doi: 10.1016/j.amjoto.2018.03.021. Epub 2018 Mar 7.
The purposes of the study was to evaluate for the functional improvement of outcomes of patients undergoing surgical management for tongue cancer at varying periods after surgery.
Case series with intervention.
Thirty consecutive patients, from 2011 to 2015, with carcinoma of the tongue undergoing surgical resection and reconstruction with a radial forearm free flap.
The Speech Intelligibility Test (SIT) is used for objective evaluation of speech function. The 7-point ordinal scale Functional Oral Intake Score (FOIS) was used to estimate the swallowing function.
The patients included were 25 men and 5 women with a mean age of 50.4 years (range - 27-65). All tumors were squamous cell carcinomas and all patients underwent a hemiglossectomy. There were two complete flap failures, with a resultant flap success rate of 93.3%. The initial mean speech intelligibility scores at 1-month increased from 72.3 ± 0.2 to 77.7 ± 8.9 at 6-months after surgery (p = 0.05). Similarly, the mean score of swallowing function improved from 6.1 at 1-month to 6.8 at 6-months after surgery (p = 0.05).
Reconstruction of hemiglossectomy defects with a radial forearm free flap offers functional benefits in speech and deglutition that demonstrate progressive improvement when 1- and 6-month post-surgical assessments are compared.
本研究的目的是评估接受舌癌手术治疗的患者在术后不同时期功能改善的情况。
干预性病例系列研究。
2011年至2015年连续30例接受舌癌手术切除并采用游离桡侧前臂皮瓣重建的患者。
言语清晰度测试（SIT）用于客观评估言语功能。采用7分顺序量表功能性经口进食评分（FOIS）评估吞咽功能。
纳入的患者中男性25例，女性5例，平均年龄50.4岁（范围27 - 65岁）。所有肿瘤均为鳞状细胞癌，所有患者均接受了半舌切除术。有2例皮瓣完全失败，皮瓣成功率为93.3%。术后1个月时初始平均言语清晰度评分从72.3±0.2提高到术后6个月时的77.7±8.9（p = 0.05）。同样，吞咽功能的平均评分从术后1个月的6.1提高到术后6个月的6.8（p = 0.05）。
采用游离桡侧前臂皮瓣重建半舌切除术后缺损在言语和吞咽方面具有功能益处，与术后1个月和6个月的评估结果相比，功能呈逐步改善。
