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Dysphagia in Patients with Tongue Cancer Treated with Surgery / 대한연하장애학회지
Journal of the Korean Dysphagia Society ; (2): 1-9, 2019.
Article in English | WPRIM | ID: wpr-719565
ABSTRACT

OBJECTIVE:

To evaluate the swallowing problems after a primary resection in patients with tongue cancer.

METHODS:

Thirty-eight patients with primary tongue cancer, who underwent a glossectomy and had undergone a Video Fluoroscopic Swallowing Study (VFSS) prior to surgery in a university hospital between January 2010 and May 2015, were included retrospectively. The clinical and swallowing features, including the VFSS parameters before and after surgery, were analyzed.

RESULTS:

Among the 38 patients, 33 patients were T1 and T2 stage. Thirty-one, six and one patient underwent a partial glossectomy, hemiglossectomy, and total glossectomy, respectively. More than ninety percent of the patients had a selective neck dissection. All the patients were on a regular diet before surgery and showed no penetration or aspiration on the VFSS. Immediately after surgery, 33 patients (87%) had to change to non-oral feeding. At discharge, 8 patients (21%) maintained non-oral feeding, and 30 patients ate a limited diet. In a telephone survey (mean 19 months after surgery), among the 25 survey participants, 24 patients (96%) reported no problems with their regular diet.

CONCLUSION:

In tongue cancer patients with low Tumor-Node-Metastasis (TNM), American Joint Committee on Cancer (AJCC) stages, a primary resection of tongue cancer did not cause statistically significant dysphagia after surgery. Although many patients had to change their diet to limited or non-oral feeding immediately after surgery, almost all patients improved and could eat a regular diet after the long term follow up.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Neck Dissection / Telephone / Tongue / Tongue Neoplasms / Deglutition Disorders / Retrospective Studies / Follow-Up Studies / Deglutition / Diet / Glossectomy Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Journal of the Korean Dysphagia Society Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Neck Dissection / Telephone / Tongue / Tongue Neoplasms / Deglutition Disorders / Retrospective Studies / Follow-Up Studies / Deglutition / Diet / Glossectomy Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Journal of the Korean Dysphagia Society Year: 2019 Type: Article