University of Turin, Department of Surgical Sciences, Division of Otorhinolaryngology, Turin, Italy.
University of Turin, Department of Surgical Sciences, Division of Otorhinolaryngology, Turin, Italy.
Braz J Otorhinolaryngol. 2022 Nov-Dec;88 Suppl 4(Suppl 4):S33-S43. doi: 10.1016/j.bjorl.2021.06.009. Epub 2021 Jul 30.
Partial glossectomy and reconstruction strategy for malignant tongue tumors influences speech and swallowing.
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 3cm. Different reconstruction strategies (with or without pedicled flap) were compared.
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.
Patients with a higher tongue motility had better articulation and lower dysphagia. Avoiding pedicled flap reconstruction seemed to guarantee lower impairment of speech and swallowing. Worse functional outcomes induced a lower quality of life.
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.
部分舌切除术和恶性舌肿瘤的重建策略会影响言语和吞咽功能。
本回顾性研究的目的是评估最大尺寸为 2 至 3cm 的 pT2 可移动舌癌行部分舌切除术后的长期功能结果。比较了不同的重建策略（带蒂瓣或不带蒂瓣）。
共纳入 22 例至少随访 12 个月的患者。使用基于临床医生和自我报告的工具来分析舌运动、言语清晰度和发音、吞咽和生活质量。
舌运动能力较高的患者发音和吞咽功能更好。避免带蒂瓣重建似乎可以保证言语和吞咽功能受损较小。较差的功能结果导致生活质量降低。
部分舌切除术导致舌运动障碍，进而导致口腔功能改变。由于重建类型会影响长期结果，因此应在手术前进行充分的规划。
