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Long-term functional outcomes and quality of life after partial glossectomy for T2 squamous cell carcinomas
Riva, Giuseppe; Sapino, Silvia; Ravera, Mattia; Elia, Giulia; Pecorari, Giancarlo.
Afiliação
  • Riva, Giuseppe; University of Turin. Division of Otorhinolaryngology. Department of Surgcal Sciences. Turin. IT
  • Sapino, Silvia; University of Turin. Division of Otorhinolaryngology. Department of Surgcal Sciences. Turin. IT
  • Ravera, Mattia; University of Turin. Division of Otorhinolaryngology. Department of Surgcal Sciences. Turin. IT
  • Elia, Giulia; University of Turin. Division of Otorhinolaryngology. Department of Surgcal Sciences. Turin. IT
  • Pecorari, Giancarlo; University of Turin. Division of Otorhinolaryngology. Department of Surgcal Sciences. Turin. IT
Braz. j. otorhinolaryngol. (Impr.) ; Braz. j. otorhinolaryngol. (Impr.);88(supl.4): S33-S43, Nov.-Dec. 2022. tab, graf
Article em En | LILACS-Express | LILACS | ID: biblio-1420878
Biblioteca responsável: BR1.1
ABSTRACT
Abstract

Introduction:

Partial glossectomy and reconstruction strategy for malignant tongue tumors influences speech and swallowing.

Objective:

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 3 cm. Different reconstruction strategies (with or without pedicled flap) were compared.

Methods:

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.

Results:

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.

Conclusion:

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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Tipo de estudo: Observational_studies Aspecto: Patient_preference Idioma: En Revista: Braz. j. otorhinolaryngol. (Impr.) Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Itália País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Tipo de estudo: Observational_studies Aspecto: Patient_preference Idioma: En Revista: Braz. j. otorhinolaryngol. (Impr.) Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Itália País de publicação: Brasil