Dysphagia in Patients with Tongue Cancer Treated with Surgery / 대한연하장애학회지
Journal of the Korean Dysphagia Society
;
(2): 1-9, 2019.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Évidement ganglionnaire cervical
/
Téléphone
/
Langue
/
Tumeurs de la langue
/
Troubles de la déglutition
/
Études rétrospectives
/
Études de suivi
/
Déglutition
/
Régime alimentaire
/
Glossectomie
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Journal of the Korean Dysphagia Society
Année:
2019
Type:
Article
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