Your browser doesn't support javascript.
loading
Functional outcomes and survival of patients with oral and oropharyngeal cancer after total glossectomy.
Quinsan, Isabela de Cássia Marins; Costa, Gustavo Carvalho; Priante, Antonio Vitor Martins; Cardoso, Cesar Augusto; Nunes, Caio Lúcio Soubhia.
Afiliação
  • Quinsan ICM; Universidade de Taubaté (UNITAU), Taubaté, SP, Brazil. Electronic address: isa.cassiamq@gmail.com.
  • Costa GC; Universidade de Taubaté (UNITAU), Taubaté, SP, Brazil.
  • Priante AVM; Universidade de Taubaté (UNITAU), Taubaté, SP, Brazil.
  • Cardoso CA; Universidade de Taubaté (UNITAU), Taubaté, SP, Brazil.
  • Nunes CLS; Hospital Regional do Vale do Paraíba (HRVP), Taubaté, SP, Brazil.
Braz J Otorhinolaryngol ; 86(5): 545-551, 2020.
Article em En | MEDLINE | ID: mdl-30956152
INTRODUCTION: Cancer of the oral cavity and oropharynx presents aggressive behavior and its diagnosis is, in most cases, performed in advanced stages. Total glossectomy is a therapeutic option in locally advanced cancer, and the only one in the recurrent or residual disease, after chemoradiotherapy. OBJECTIVE: To evaluate the clinical-epidemiological profile, postoperative complications, survival rates and functional aspects of patients with oral cavity and oropharynx cancer after total glossectomy. METHODS: It was a retrospective study where 22 patients were included with oral cavity and oropharyngeal cancer after total glossectomy at the Hospital Regional do Vale do Paraíba, em Taubaté, São Paulo. RESULTS: All patients were male, with a median age of 57 years, most of tumors are located in the tongue and floor of the mouth and classified as stage IVa. Total glossectomy as initial treatment was performed in 18 and as salvage in four patients. The major pectoralis myocutaneous flap was used for reconstruction in all cases. The main postoperative complication was wound infection and salivary fistula. CONCLUSION: Overall survival was 19% and cancer-specific survival was 30.8% in five years. Eight patients were rehabilitated for exclusive oral feeding without the dependence tracheostomy and enteral tube, all with an overall survival greater than 15 months.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Orofaríngeas Tipo de estudo: Observational_studies Limite: Humans / Male / Middle aged Idioma: En Revista: Braz J Otorhinolaryngol Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2020 Tipo de documento: Article País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Orofaríngeas Tipo de estudo: Observational_studies Limite: Humans / Male / Middle aged Idioma: En Revista: Braz J Otorhinolaryngol Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2020 Tipo de documento: Article País de publicação: Brasil