Details

Autor(en) / Beteiligte

• Mazarro, Alejandro
• de Pablo, Alba
• Puiggròs, Carolina
• Velasco, Mª Mercedes
• Saez, Manel
• Pamias, Jorge
• Bescós, Coro

Titel

Indications, reconstructive techniques, and results for total glossectomy

Ist Teil von

• Head & neck, 2016-04, Vol.38 (S1), p.E2004-E2010

Ort / Verlag

United States: Blackwell Publishing Ltd

Erscheinungsjahr

2016

Quelle

MEDLINE

Beschreibungen/Notizen

• Background The best treatment for advanced tongue tumors remains controversial. Total glossectomy with laryngeal preservation is considered a feasible option, despite its morbidity. Methods A retrospective analysis of 12 total glossectomies with laryngeal preservation was performed in order to assess the available reconstruction techniques and analyze survival and functional outcomes. Results One‐year overall survival (OS) and disease‐free survival (DFS) rates were 58.3% and 33.3%, respectively, both dropping to 25% after 3 years. Permanent gastrostomy was necessary in 10 patients, although videofluoroscopy revealed adequate tolerance to liquids. Speech intelligibility was satisfactory in 50% of the patients and severely impaired in the remaining 50%. Conclusion Laryngeal preservation in the context of advanced tumors of the tongue without supraglottic invasion carried similar oncologic results to total glossectomy with laryngectomy, but offers a better phonatory function. However, it is usually associated with a higher gastrostomy dependency ratio. A scrupulous selection of candidates is mandatory. © 2016 Wiley Periodicals, Inc. Head Neck 38: E2004–E2010, 2016