Total glossectomy with laryngeal preservation and free flap reconstruction: Objective functional outcomes and systematic review of the literature

Abstract

Although a potentially morbid treatment, TGLP and free flap reconstruction can provide good swallowing and speech outcomes as well as meaningful long-term quality of life. Regular attendance of rehabilitation sessions is imperative to optimize functional outcomes.

Prediction of decannulation, oral intake recovery, overall survival and lung metastasis following oral malignant tumor resection and reconstruction

“…The reconstruction of oral cavity defects following OMT resection, including total glossectomy (TG), poses a formidable challenge for the restoration of postoperative oral function (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). The decannulation of a tracheostomy tube or extubation of a endotracheal tube, or restoration of oral intake function unaided by a nasogastric or gastric tube, are representative indicators of the restoration of postoperative oral function in patients that underwent OMT resection with reconstruction (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). Previously, we reported a significant correlation between the likelihood of restoring oral intake function and reduced extents of tongue base resection in an analysis based on 53 patients between 1993 and 2005 (1), and in 25 patients that underwent segmental mandibulectomy (SM) with reconstruction to treat mandibular bone defects between 2004 and 2011 (2).…”

“…Previously, we reported a significant correlation between the likelihood of restoring oral intake function and reduced extents of tongue base resection in an analysis based on 53 patients between 1993 and 2005 (1), and in 25 patients that underwent segmental mandibulectomy (SM) with reconstruction to treat mandibular bone defects between 2004 and 2011 (2). The postoperative functional outcomes for patients in conditions including TG has been well studied (3)(4)(5).…”

Management of the total glossectomy defect with latissimus dorsi free flap

“…Использование в реконструкции языка лоскутов из паховой области (m. transversus abdominis и m. rectus abdominis -TRAM flap) или области предплечья (radial forearm free flap), в том числе с костным ком-понентом, приносит удовлетворительные функцио-нальные результаты [11,12], однако со временем наблюдается потеря мышечной массы. Кроме того, не учитывается возможность активных произвольных движений, обеспечиваемых подъязычной реиннерва-цией.…”

Squamous Cell Carcinoma of the Tongue Dorsum: Incidence and Treatment Considerations

“…In patients with locally advanced tongue cancer, laryngeal preservation in total glossectomy may also preserve swallowing function and maintain airway protection over the long term, compared with concurrent total laryngectomy. According to a systematic review by Dziegielewski et al [18], 24 % of patients had used a gastrostomy tube at 1 year post-surgery. Rihani et al [19] reported that of 94 patients with T3 or T4 tongue cancer who underwent total glossectomy with laryngeal preservation and free or pedicled flap reconstruction, the rates of tracheostomy decannulation and gastrostomy tube removal 1 year after surgery were 84.1 and 28.7 %, respectively.…”