A study on the relation between the shape of the reconstructed tongue and postoperative function after long-term follow-up of total or subtotal glossectomy

DOI 3 Citations 9 References
  • Terao Yasunobu
    Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Komagome Hospital
  • Tanaka Seiji
    Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Komagome Hospital
  • Taniguchi Koichiro
    Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Komagome Hospital
  • Uchida Ikuhiro
    Department of Oral Surgery, Tokyo Metropolitan Komagome Hospital
  • Ohyama Sadao
    Department of Oral Surgery, Tokyo Metropolitan Komagome Hospital

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Other Title
  • 舌根部の再建形態に関する検討

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Description

In the case of total or subtotal glossectomy with extended resection of unilateral middle pharynx, the posterior part of the tongue was reconstructed to a slope shape which goes down to the preserved root of the tongue from the contralateral superior part of the oropharnx. Postoperative function was compared between the slope-shaped neotongue and the traditional dome-shaped neotongue. Thirteen patients were reconstructed to the dome shape and 6 patients were reconstructed to the slope shape. The average follow-up period was 7 years and 1 month. Although the slope-shaped neotongue was slightly inferior in swallowing and speech function compared with the dome-shaped neotongue, comparatively good results were obtained also with the slope-shaped tongue. In four patients with the dome-shaped neotongue, the tongue changed to a flat shape and the function worsened after a long period. In contrast, all the patients with the slope shape maintained their form and function. The patients with the slope-shaped neotongue will swallow using only the side on which the function to elevate the tongue is preserved. For cases in which it is difficult to maintain the dome shape for a long period of time, for example, tabescence patients, slope type reconstruction is considered to be an effective method.

Journal

  • Toukeibu Gan

    Toukeibu Gan 38 (1), 90-95, 2012

    Japan Society for Head and Neck Cancer

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