Comparison of swallowing disorder in patients with tongue cancer undergoing reconstruction with either a radial forearm free flap or a submental island flap

被引:3
|
作者
Karimi, Ebrahim [1 ]
Hashemi, Zahrasadat [1 ,2 ]
Sohrabpour, Saeed [1 ]
Mousavi, Sayed Mostafa Modarres [3 ,4 ]
Yousefi, Jaleh [5 ]
机构
[1] Univ Tehran Med Sci, Otorhinolaryngol Res Ctr, Tehran, Iran
[2] Alborz Univ Med Sci, Sch Med, Dept Otorhinolaryngol, Karaj, Iran
[3] Khatam Alanbia Hosp, Shefa Neurosci Res Ctr, Tehran, Iran
[4] Tarbiat Modares Univ, Fac Biol Sci, Dept Nanobiotechnol, Tehran, Iran
[5] Baqiyatallah Univ Med Sci, Fac Med, Dept Otolaryngol, Tehran, Iran
来源
ORAL AND MAXILLOFACIAL SURGERY-HEIDELBERG | 2024年 / 28卷 / 01期
关键词
Swallowing disorder; Tongue cancer; Free flap; Submental flaps; FIBEROPTIC ENDOSCOPIC EVALUATION; ORAL-CAVITY; PEDICLED FLAP; SURGERY;
D O I
10.1007/s10006-023-01137-7
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Purpose In this study, the swallowing status of patients with tongue cancer undergone tongue reconstruction using radial forearm free flaps (RFFF) and submental flaps were compared.Methods A total of 26 patients with tongue cancer undergone tongue resection were randomly treated by tongue reconstruction with either submental flap or RFFF approach. Swallowing status of the patients was investigated using fiberoptic endoscopic evaluation of swallowing (FEES) by measurement of pharyngeal residue and penetration scales.Results The pharyngeal residue scale in vallecula and pyriform sinus and the average of vallecula and pyriform sinus on days 10 and 30 post-operation as well as penetration scale at the same time showed no significant difference between two groups. However, the time to start oral feeding was significantly reduced in the submental group compared to the free flap group (P = 0.031). A positive Pearson correlation was found between the size of oral tongue and base of tongue resection and some of swallowing parameters.Conclusion Since there was no significant difference between submental and free flap respected to swallowing disorder, the submental flap is prior to free flap due to lower cost and hospitalization and less complication after tongue reconstruction.
引用
收藏
页码:125 / 130
页数:6
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