Analysis of the relations between the shape of the reconstructed tongue and postoperative functions after subtotal or total glossectomy

Yoshihiro Kimata, Minoru Sakuraba, Shigeyuki Hishinuma, Satoshi Ebihara, Ryuichi Hayashi, Takahiro Asakage, Takashi Nakatsuka, Kiyonori Harii

Research output: Contribution to journalArticle

117 Citations (Scopus)

Abstract

Objectives/Hypothesis: For reconstruction after subtotal or total glossectomy, both preserving the larynx and maintaining postoperative swallowing and speech functions can greatly improve quality of life; however, postoperative functional results are often unstable. Our experiences suggest that insufficient flap volume in the oral area and postoperative prolapse of the preserved larynx affect postoperative function. The objective was to investigate the relations of the shape of the reconstructed tongue to postoperative swallowing and speech functions. Study Design: The shape of the reconstructed tongue was classified on the basis of magnetic resonance and intraoral inspection as protuberant, semi-protuberant, flat, or depressed. Speech intelligibility was evaluated, and body weight, which might affect the shape of the transferred flap, was measured before and after surgery. Methods: Thirty patients who had undergone subtotal or total glossectomy and subsequent reconstruction were reviewed. Results: We found that speech intelligibility (P

Original languageEnglish
Pages (from-to)905-909
Number of pages5
JournalLaryngoscope
Volume113
Issue number5
DOIs
Publication statusPublished - May 1 2003
Externally publishedYes

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Glossectomy
Speech Intelligibility
Deglutition
Larynx
Tongue
Prolapse
Magnetic Resonance Spectroscopy
Body Weight
Quality of Life

Keywords

  • Postoperative functional analysis
  • Reconstruction after subtotal or total glossectomy
  • Shape of reconstructed tongue

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Analysis of the relations between the shape of the reconstructed tongue and postoperative functions after subtotal or total glossectomy. / Kimata, Yoshihiro; Sakuraba, Minoru; Hishinuma, Shigeyuki; Ebihara, Satoshi; Hayashi, Ryuichi; Asakage, Takahiro; Nakatsuka, Takashi; Harii, Kiyonori.

In: Laryngoscope, Vol. 113, No. 5, 01.05.2003, p. 905-909.

Research output: Contribution to journalArticle

Kimata, Yoshihiro ; Sakuraba, Minoru ; Hishinuma, Shigeyuki ; Ebihara, Satoshi ; Hayashi, Ryuichi ; Asakage, Takahiro ; Nakatsuka, Takashi ; Harii, Kiyonori. / Analysis of the relations between the shape of the reconstructed tongue and postoperative functions after subtotal or total glossectomy. In: Laryngoscope. 2003 ; Vol. 113, No. 5. pp. 905-909.
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