TY - JOUR
T1 - Functional Results After Total or Near Total Glossectomy With Laryngeal Preservation
AU - Weber, Randal S.
AU - Ohlms, Laurie
AU - Bowman, Julia
AU - Jacob, Rhonda
AU - Goepfert, Helmuth
PY - 1991/5
Y1 - 1991/5
N2 - Locally advanced tongue cancer is a devastating disease for which there are limited therapeutic options that will result in a high rate of cure while preserving function. To determine the oncologic effectiveness of total or near total glossectomy with laryngeal preservation and the possibility of speech and swallowing rehabilitation following treatment, we reviewed our experience with 27 patients treated between 1982 and 1989. Twenty-four patients were eligible for 2-year follow-up and their disease-specific survival was 51%. Swallowing was achieved initially in 18 patients (67%), while 12 had successful long-term deglutition (44%). Oral communication was accomplished in 25 patients (92%). Significant aspiration occurred in three patients and was severe enough to require interval laryngectomy in two patients. The role of laryngeal suspension, palatal augmentation prosthesis, and videofluoroscopy as rehabilitation adjuncts for the total glossectomy patient are described. (Arch Otolaryngol Head Neck Surg.1991; 117:512-515)
AB - Locally advanced tongue cancer is a devastating disease for which there are limited therapeutic options that will result in a high rate of cure while preserving function. To determine the oncologic effectiveness of total or near total glossectomy with laryngeal preservation and the possibility of speech and swallowing rehabilitation following treatment, we reviewed our experience with 27 patients treated between 1982 and 1989. Twenty-four patients were eligible for 2-year follow-up and their disease-specific survival was 51%. Swallowing was achieved initially in 18 patients (67%), while 12 had successful long-term deglutition (44%). Oral communication was accomplished in 25 patients (92%). Significant aspiration occurred in three patients and was severe enough to require interval laryngectomy in two patients. The role of laryngeal suspension, palatal augmentation prosthesis, and videofluoroscopy as rehabilitation adjuncts for the total glossectomy patient are described. (Arch Otolaryngol Head Neck Surg.1991; 117:512-515)
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U2 - 10.1001/archotol.1991.01870170058013
DO - 10.1001/archotol.1991.01870170058013
M3 - Article
C2 - 1902355
AN - SCOPUS:0025793256
SN - 0886-4470
VL - 117
SP - 512
EP - 515
JO - Archives of Otolaryngology--Head and Neck Surgery
JF - Archives of Otolaryngology--Head and Neck Surgery
IS - 5
ER -