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   Improving the Swallowing in Total Glossectomy With Laryngeal Preservation  
   
نویسنده Cristalli Giovanni ,Maio Pasquale Di ,Vallati Giulio ,D'Amico Ronel ,Vidiri Antonello ,Mercante Giuseppe ,Ferreli Fabio ,Nata Francesca Boscolo ,Giudici Fabiola ,Pellini Raul ,Iocca Oreste ,Spriano Giuseppe
منبع Multidisciplinary Cancer Investigation - 2021 - دوره : 5 - شماره : 2 - صفحه:1 -8
چکیده    Introduction: this study aims to evaluate the parameters that might have an impact on swallowing performance after a total glossectomy with laryngeal preservation (tglp). methods: among 39 patients who underwent surgery with curative intent for squamous cell carcinoma of the tongue, our retrospective analysis focused on 18 patients treated by tglp and flap reconstruction. the flap was positioned using three points of suspension: mandible (anteriorly), remaining suspensor muscles (cranially), and hyoid bone (inferiorly). videofluoroscopic swallowing studies were performed after surgery, and the movements of the hyoid bone on the horizontal and vertical plane were measured on a frame-by-frame basis, and the velopharyngeal contact was recorded. swallowing was studied at consecutive time-intervals using the gugging swallowing screen (guss), and patients were categorized into three groups according to their swallowing ability (good, intermediate, and bad). the relationship between categorical and continuous variables and the swallowing ability were investigated using the chi-squared or fischer exact test and mann-whitney test or t-student test respectively. results: swallowing ability at 6-8 months was good in 13 patients and intermediate or bad in five patients. swallowing improved in 1 and 3 patients at 12 and 18 months, respectively. the hyoid bone movement in the y-axis and extension of surgery to the tonsil were statistically associated with swallowing (p=0.002 and p=0.04, respectively). velopharyngeal contact was obtained in the entire cohort. conclusions: flap suspension using three points of attachment, could allow the restoration of an active hyoid movement and the velopharyngeal closure, thereby achieving valid swallowing.
کلیدواژه Tongue Neoplasms ,Reconstructive Surgical Procedures ,Surgical Flap ,Deglutition ,Fluoroscopy
آدرس United Hospitals Padua South Mother Teresa Of Calcutta, Ent Department, Italy. Regina Elena National Cancer Institute, Department Of Otolaryngology Head And Neck Surgery, Italy, Civil Hospital, Department Of Otolaryngology Head And Neck Surgery, Italy, Regina Elena National Cancer Institute, Department Of Radiology, Italy, Regina Elena National Cancer Institute, Department Of Radiology, Italy, Regina Elena National Cancer Institute, Department Of Radiology, Italy, Istituto Di Ricovero E Cura A Carattere Scientifico (Irccs), Humanitas Clinical And Research Center, Italy. Humanitas University, Department Of Biomedical Sciences, Italy, Humanitas University, Department Of Biomedical Sciences, Italy, United Hospitals Padua South Mother Teresa Of Calcutta, Ent Department, Italy, University Of Padua, Unit Of Biostatistics, Epidemiology And Public Health, Department Of Cardiac, Thoracic, Vascular Sciences And Public Health, Italy, Regina Elena National Cancer Institute, Department Of Otolaryngology Head And Neck Surgery, Italy, Istituto Di Ricovero E Cura A Carattere Scientifico (Irccs), Humanitas Clinical And Research Center, Italy. Humanitas University, Department Of Biomedical Sciences, Italy, Istituto Di Ricovero E Cura A Carattere Scientifico (Irccs), Humanitas Clinical And Research Center, Italy. Humanitas University, Department Of Biomedical Sciences, Italy
پست الکترونیکی bspriano@email.it
 
     
   
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