Dysphagia in Patients with Tongue Cancer Treated with Surgery / 대한연하장애학회지
Journal of the Korean Dysphagia Society
; (2): 1-9, 2019.
Article
en En
| WPRIM
| ID: wpr-719565
Biblioteca responsable:
WPRO
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.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Disección del Cuello
/
Teléfono
/
Lengua
/
Neoplasias de la Lengua
/
Trastornos de Deglución
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Deglución
/
Dieta
/
Glosectomía
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Journal of the Korean Dysphagia Society
Año:
2019
Tipo del documento:
Article