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Article

Original Article

J Korean Dysphagia Soc 2019; 9(1): 1-9

Published online January 30, 2019

Copyright © The Korean Dysphagia Society.

Dysphagia in Patients with Tongue Cancer Treated with Surgery

Eun Jung Sung, M.D.1, Kyoung Hyo Choi, M.D., Ph.D.1, JaYoung Kim, M.D.1, Seoyon Yang, M.D., Ph.D.1, Jong-Lyel Roh, M.D.2, Seung-Ho Choi, M.D.2, Soon Yuhl Nam, M.D.2, Sang Yoon Kim, M.D.2

Departments of 1Rehabilitation Medicine and 2Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

Abstract

Objective: To evaluate the swallowing problems after a primary resection in patients with tongue cancer.
Methods: Thirty-eight patients with primary tongue cancer, who underwent a glossectomy and had undergone a Video Fluoroscopic Swallowing Study (VFSS) prior to surgery in a university hospital between January 2010 and May 2015, were included retrospectively. The clinical and swallowing features, including the VFSS parameters before and after surgery, were analyzed.
Results: Among the 38 patients, 33 patients were T1 and T2 stage. Thirty-one, six and one patient underwent a partial glossectomy, hemiglossectomy, and total glossectomy, respectively. More than ninety percent of the patients had a selective neck dissection. All the patients were on a regular diet before surgery and showed no penetration or aspiration on the VFSS. Immediately after surgery, 33 patients (87%) had to change to non-oral feeding. At discharge, 8 patients (21%) maintained non-oral feeding, and 30 patients ate a limited diet. In a telephone survey (mean 19 months after surgery), among the 25 survey participants, 24 patients (96%) reported no problems with their regular diet.
Conclusion: In tongue cancer patients with low Tumor-Node-Metastasis (TNM), American Joint Committee on Cancer (AJCC) stages, a primary resection of tongue cancer did not cause statistically significant dysphagia after surgery. Although many patients had to change their diet to limited or non-oral feeding immediately after surgery, almost all patients improved and could eat a regular diet after the long term follow up.

Keywords: Deglutition disorders, Head and neck neoplasms, Deglutition, Tongue neoplasms

Article

Original Article

J Korean Dysphagia Soc 2019; 9(1): 1-9

Published online January 30, 2019

Copyright © The Korean Dysphagia Society.

Dysphagia in Patients with Tongue Cancer Treated with Surgery

Eun Jung Sung, M.D.1, Kyoung Hyo Choi, M.D., Ph.D.1, JaYoung Kim, M.D.1, Seoyon Yang, M.D., Ph.D.1, Jong-Lyel Roh, M.D.2, Seung-Ho Choi, M.D.2, Soon Yuhl Nam, M.D.2, Sang Yoon Kim, M.D.2

Departments of 1Rehabilitation Medicine and 2Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

Abstract

Objective: To evaluate the swallowing problems after a primary resection in patients with tongue cancer.
Methods: Thirty-eight patients with primary tongue cancer, who underwent a glossectomy and had undergone a Video Fluoroscopic Swallowing Study (VFSS) prior to surgery in a university hospital between January 2010 and May 2015, were included retrospectively. The clinical and swallowing features, including the VFSS parameters before and after surgery, were analyzed.
Results: Among the 38 patients, 33 patients were T1 and T2 stage. Thirty-one, six and one patient underwent a partial glossectomy, hemiglossectomy, and total glossectomy, respectively. More than ninety percent of the patients had a selective neck dissection. All the patients were on a regular diet before surgery and showed no penetration or aspiration on the VFSS. Immediately after surgery, 33 patients (87%) had to change to non-oral feeding. At discharge, 8 patients (21%) maintained non-oral feeding, and 30 patients ate a limited diet. In a telephone survey (mean 19 months after surgery), among the 25 survey participants, 24 patients (96%) reported no problems with their regular diet.
Conclusion: In tongue cancer patients with low Tumor-Node-Metastasis (TNM), American Joint Committee on Cancer (AJCC) stages, a primary resection of tongue cancer did not cause statistically significant dysphagia after surgery. Although many patients had to change their diet to limited or non-oral feeding immediately after surgery, almost all patients improved and could eat a regular diet after the long term follow up.

Keywords: Deglutition disorders, Head and neck neoplasms, Deglutition, Tongue neoplasms

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