Total Glossectomy With Laryngeal Preservation

Tiwari, R. M.; Karim, A. B. M. F.; Greven, A. J.; Snow, Gordon B.

doi:10.1001/archotol.1993.01880210033005

Cited by 61 publications

(43 citation statements)

References 21 publications

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“…In general, series that included reconstructions with microsurgical free flaps achieved better swallowing and speech intelligibility. This trend only differed in the series of Tiwari et al, 4 where excellent results were reported in 21 nonlaryngectomized patients who underwent pectoralis major flap reconstruction after total glossectomy. Yu 13 reported that one of the main advantages of the ALT flap was the possibility of sensitization-the result of a nerve coaptation between the lateral cutaneous femoral nerve and the lingual nerve-as this provided a significant improvement in swallowing capacity.…”

Section: Discussionmentioning

confidence: 93%

“…Many authors began to use this procedure to restore complex head and neck defects, as it enabled functional reconstructions, without the need for laryngectomy. 3,4 Some years later, the introduction of microsurgical flaps led to significant improvements in reconstruction techniques, allowing repair of complex defects, such as those after total glossectomy.…”

Section: Kremermentioning

confidence: 99%

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Total or subtotal glossectomy with microsurgical reconstruction: Functional and oncological results

et al. 2011

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Section: Discussionmentioning

confidence: 93%

Section: Kremermentioning

confidence: 99%

Total or subtotal glossectomy with microsurgical reconstruction: Functional and oncological results

et al. 2011

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“…A variety of validated questionnaires, such as the Performance Status Scale (PSS) coupled with separate general QOL questionnaires for cancer patients (FACT-G and EORTC QLQ-C30), have been adopted by other researchers in the past [3,8] . We used the MDADI questionnaire because it is a sensitive, validated and easily applicable questionnaire with a focus on issues relating specifically to dysphagia in HNC patients [7] .…”

Section: Discussionmentioning

confidence: 99%

“…That said, nonsurgical options have also been shown to affect quality of life (QOL) too. Consideration of the importance of postoperative voice, speech and swallow in patients undergoing glossectomy is an essential component of treatment planning and should be included in assessments of the benefit and overall success of therapy [2][3][4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

Questionnaire Analysis of Swallowing-Related Outcomes following Glossectomy

Kazi¹,

Prasad²,

Venkitaraman³

et al. 2008

ORL

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Objective: To determine the effects of a partial/total glossectomy on the swallow-related quality of life (QOL). Design: Cross-sectional, single-centre cohort study. Patients and Methods: Thirty-one patients who underwent partial/total glossectomy at our centre participated in the study. Main outcome was measured using the MD Andersen Dysphagia Inventory (MDADI) questionnaire. Results: Responses were received from 24 males and 7 females (response rate of 77.5%) with a median age of 50 years (range: 28–72). Median follow-up in patients was 33 months (range 4–210). The mean MDADI total score in our series of patients was 71.7 (SD 18.8). Mean MDADI global score was 64.5 (SD 29.1), mean Emotional score was 71.9 (SD 19.1), mean Functional score was 73.7 (SD 19.1) and mean Physical score was 69.3 (SD 21.7). Statistically significant differences were seen between the global, emotional and physical scores of patients who had received radiotherapy (Mann-Whitney, p < 0.05) and tracheostomy (functional score, Mann-Whitney, p = 0.038). Conclusion: The presence of tracheostomy tube and previous radiotherapy affects swallowing outcome in patients who have had surgery for squamous cell carcinoma of the tongue.

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“…Other scales use too few severity, as presented. Separation by severity was initially chosen and has remained over a 5-year period for the categories [20,34,36], such as the presence or absence of aspiration or a feeding tube. Narrow-perspective scales following reasons.…”

Section: Discussionmentioning

confidence: 99%

A Functional Outcome Swallowing Scale for Staging Oropharyngeal Dysphagia

Salassa

1999

Dig Dis

177

123

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Objective: To develop a simple and straightforward functional outcome swallowing scale (FOSS) for patients with oropharyngeal dysphagia to determine the severity of the disorder and the effectiveness of therapy or outcome. Design: Five years ago, the author developed a dysphagia staging scale based on personal experience and a review of the English literature. This scale was shared with colleagues from the specialties of otolaryngology, speech pathology, neurology, and gastroenterology, both within and outside the author’s institution. Minor modifications have been made. The scale has been used in clinical management and retrospective studies. Setting: Patients were seen in a multispecialty, tertiary care, academic center. Patients: The patient population included the full spectrum of oropharyngeal dysphagia in adults, but was weighted heavily toward aging patients and patients with head and neck cancer, neurologic disorders, gastroesophageal conditions, and psychiatric problems. Results: The stages are as follows: stage 0 = normal function and asymptomatic; stage I = normal function but with episodic or daily symptoms of dysphagia; stage II = compensated abnormal function manifested by significant dietary modifications or prolonged mealtime (without weight loss or aspiration); stage III = decompensated abnormal function with weight loss of 10% or less of body weight over 6 months due to dysphagia, or daily cough, gagging, or aspiration during meals; stage IV = severely decompensated abnormal function with weight loss of more than 10% of body weight over 6 months due to dysphagia, or severe aspiration with bronchopulmonary complications, nonoral feeding recommended for most of nutrition, and stage V = nonoral feeding for all nutrition. Conclusions: The FOSS was successful for staging various adult patients with dysphagia into clinically useful, overall performance categories. It has been applied successfully to retrospective outcome studies and to clinical management by clinicians from different specialties.

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Total Glossectomy With Laryngeal Preservation

Cited by 61 publications

References 21 publications

Total or subtotal glossectomy with microsurgical reconstruction: Functional and oncological results

Total or subtotal glossectomy with microsurgical reconstruction: Functional and oncological results

Questionnaire Analysis of Swallowing-Related Outcomes following Glossectomy

A Functional Outcome Swallowing Scale for Staging Oropharyngeal Dysphagia

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