Functional comparison after reconstruction with a radial forearm free flap or a pectoralis major flap for cancer of the tongue.
Otolaryngol Head Neck Surg
; 128(3): 412-8, 2003 Mar.
Article
en En
| MEDLINE
| ID: mdl-12646846
ABSTRACT
OBJECTIVE:
Numerous patients in Taiwan with tongue carcinoma require tongue reconstruction. We compared the abilities of 2 methods of tongue reconstruction to reserve tongue function. STUDY DESIGN ANDSETTING:
Sixty patients underwent resection of the tumors and reconstruction with a pectoralis major flap or a radial forearm flap. The Chinese articulation test was used to evaluate the place and manner of error production, and a questionnaire on dietary habits was used to evaluate deglutition 6 months to 10 years after reconstruction.RESULTS:
Patients with the free flap had more intelligible speech. The questionnaire study showed no significant difference between the 2 groups in swallowing rating. Motility caused by flap pliability increased speech intelligibility more than it did on swallowing function.CONCLUSION:
Our experience in a few selected patients shows that the functional outcome of tongue surgery is related to the reconstruction methods used (for speech) and to the extent of tongue resection (for swallowing).
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Colgajos Quirúrgicos
/
Neoplasias de la Lengua
/
Glosectomía
Límite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Otolaryngol Head Neck Surg
Año:
2003
Tipo del documento:
Article
País de afiliación:
Taiwán