Prediction of decannulation, oral intake recovery, overall survival and lung metastasis following oral malignant tumor resection and reconstruction

Suzuki, Hitomi; Hyodo, Ichinosuke; Hasegawa, Yasuhisa

doi:10.3892/ol.2017.7585

Cited by 3 publications

(6 citation statements)

References 16 publications

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Section: Discussionsupporting

confidence: 81%

“…Overall, the most important variables influencing deglutition were adjuvant treatment, age, gender, oropharyngeal resection, and type of free flap employed, as previously reported in literature. [19][20][21][22][23] Performing functional evaluation at 6 and 12 months showed that it is reasonable to expect some improvements up to 1 year after surgery, as also confirmed by other studies. [24][25][26][27] It is interesting to note how at 1 year after treatment patients' subjective perception of swallowing is generally reported as good/satisfactory in more than 50% of cases using both the EORTC and UWQOL questionnaires.…”

Section: Discussionsupporting

confidence: 79%

“…Furthermore, most authors report significant deterioration of speech and swallowing only in patients requiring resections wider than an hemiglossectomy, thus involving the contralateral tongue compartment or the mandible. 17,21,23 In this view, when appropriately indicated, CTS for OTFOMSCC has the potential to offer superior oncologic results without significantly reducing functional outcomes compared to conventional partial glossectomy.…”

Section: Discussionmentioning

confidence: 99%

“…On this basis, a CTS approach represents the ideal setting due to the relatively standardized size, shape of defect, and amount of neural (lingual and hypoglossal nerves) and muscular (intrinsic and extrinsic muscles) structures routinely sacrificed according to the present surgical technique. Furthermore, most authors report significant deterioration of speech and swallowing only in patients requiring resections wider than an hemiglossectomy, thus involving the contralateral tongue compartment or the mandible 17,21,23 . In this view, when appropriately indicated, CTS for OTFOMSCC has the potential to offer superior oncologic results without significantly reducing functional outcomes compared to conventional partial glossectomy.…”

Section: Discussionmentioning

confidence: 99%

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Compartmental Surgery for Oral Tongue Cancer: Objective and Subjective Functional Evaluation

et al. 2020

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Objective: To assess functional outcomes in patients treated by compartmental tongue surgery (CTS) and reconstruction for advanced oral tongue/floor-of-mouth cancer. Study Design: Retrospective case series. Methods: A retrospective cohort of patients (n = 48) treated by CTS and free flap reconstruction was prospectively evaluated concerning postoperative functional outcomes at different time points (6 months and 1 year). Swallowing was studied by videonasal endoscopic evaluation (VEES) and videofluoroscopy (VFS), testing various food consistencies and grading the results with the Donzelli scale. Speech articulation, lingual strength, and endurance were studied by phone call and Iowa Oral Performance Instrument (IOPI). Subjective tests (EORTC H&N35 and UWQOL) were administered. Results: After 1 year, VEES showed a Donzelli scale of 67% level 1, 23% level 2, and 10% level 3. Vallecular pouch was present in 81% of patients. VFS showed levels 1, 2, and 3 in 42%, 25%, and 33%, respectively, with liquids (L); 48%, 19%, and 33%, with semi-liquids (SL); and 54%, 33%, and 13%, with semi-solids (SS). Vallecular pouch residue was present in 69% with L, 73% with SL, and 87% with SS. The mean number of words recognized at phone call was 56 of 75 (range, 27-74). IOPI showed a mean tongue strength of 19.2 kPa (range, 0-40), and a mean endurance of 16.2 seconds (range, 0-60). Conclusion: CTS does not significantly affect speech. Sub-clinical food aspiration and vallecular pouch are present in a significant proportion of patients, especially when adjuvant treatments are administered. Residual tongue strength is not affected when proper reconstruction is performed.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Compartmental Surgery for Oral Tongue Cancer: Objective and Subjective Functional Evaluation

et al. 2020

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“…At present, lung tumor metastasis is the most difficult treatment barrier in cancer therapy (14)(15)(16). Therefore, obtaining an early diagnosis for human tumors is crucial for the effective treatment of human lung cancer (17).…”

Section: Introductionmentioning

confidence: 99%

Role of Gd2O3‑doped carbon‑11‑choline‑lenvatinib nanoparticles contrast agent PET/CT in the diagnosis of patients with lung cancer

et al. 2019

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Positron emission tomography-computed tomography (PET/CT) is an efficient method for the diagnosis of various types of human cancer. Studies have demonstrated that Gd 2 O 3-doped carbon-11-choline (GdCho) can be used as a contrast nanoparticle for PET/CT in the diagnosis of patients with lung cancer. The aim of the present study was to evaluate the effect of GdCho-lenvatinib nanoparticles contrast-PET/CT (GdCho-Len-PET) in the diagnosis and treatment planning of a cohort of patients suspected of having lung cancer. The results of the present study demonstrated that GdCho-Len could be used as an efficient PET/CT contrast agent for the diagnosis of patients with lung cancer. GdCho-Len nanoparticles contrast agent exhibited a significantly improved longitudinal relaxivity compared with GdCho. The outcomes of the present study were that GdCho-Len-PET diagnosed 152 patients with lung cancer, whereas GdCho-PET diagnosed 130 patients with lung cancer among the 172 patients. GdCho-Len-PET presented with higher accuracy and sensitivity compared with GdCho-PET in diagnosing patients with lung cancer. All patients were further confirmed via histological analysis. GdCho-Len-PET contributed to the anticancer treatments in 56 out of 62 (90.3%) patients with lung cancer who were candidates for radiation therapy, 52 out of 57 (91.2%) patients with lung cancer undergoing adjuvant radiotherapy, and 13 out of 17 (76.5%) patients with lung cancer undergoing comprehensive therapy. Patients diagnosed using GdCho-Len-PET improved the survival of patients with lung cancer during a 420-day follow up. In conclusion, GdCho-Len-PET increased the diagnostic efficacy and had a significant effect on survival for patients with lung cancer, and may therefore serve as a reliable method for human cancer diagnosis.

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Application of Midline Catheter in Patients with Oral Cavity Malignancies during Perioperative Period

Chen¹,

Wang²,

Chen³

et al. 2022

JCT

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Objective: The study aims to compare the application value of midline catheter and indwelling needle in patients with oral cavity malignancies during perioperative period. Methods: 146 patients with oral cavity malignancies admitted to our hospital from January 2019 to July 2021 were selected as the research subjects. 73 patients treated with midline catheters during the treatment were the experimental group, and another 73 patients were treated with indwelling needles as the control group. The indwelling time, total number of puncturing times, and incidence of adverse reactions of two catheterization methods were compared between the two groups. Meanwhile, each patient was investigated for treatment satisfaction. Result: The indwelling time was significantly longer in the experimental group than in the control group (P < 0.0001), and the total number of puncturing times in the experimental group was significantly lower than that in the control group (P < 0.0001). The incidence of adverse reactions in the experimental group (χ 2 = 4.960, P = 0.0259) was significantly lower than that in the control group in terms of catheter occlusion (χ 2 = 12.56, P = 0.0004), catheter detachment (χ 2 = 8.46, P = 0.0036), drug extravasation (χ 2 = 3.27, P = 0.0011), phlebitis (χ 2 = 3.62, P = 0.0003), and bleeding from the puncture point (χ 2 = 14.98, P = 0.0001). The satisfaction rate (χ 2 = 33.45, P < 0.0001) and fundamental satisfaction rate (χ 2 = 16.57, P < 0.0001) in the experimental group were significantly higher than those in the control group, while the dissatisfaction rate was significantly lower than that in the control group (χ 2 = 11.38, P = 0.0007). The difference is statistically significant. Conclusion: Compared with indwelling needle, the application of midline catheters in patients with oral cavity malignancies during perioperative period can effectively reduce the number of puncturing times

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Prediction of decannulation, oral intake recovery, overall survival and lung metastasis following oral malignant tumor resection and reconstruction

Cited by 3 publications

References 16 publications

Compartmental Surgery for Oral Tongue Cancer: Objective and Subjective Functional Evaluation

Compartmental Surgery for Oral Tongue Cancer: Objective and Subjective Functional Evaluation

Role of Gd2O3‑doped carbon‑11‑choline‑lenvatinib nanoparticles contrast agent PET/CT in the diagnosis of patients with lung cancer

Application of Midline Catheter in Patients with Oral Cavity Malignancies during Perioperative Period

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