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Total glossectomy.

M S Razack, K Sako, V Y Bakamjian

    American Journal of Surgery
    |October 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Total glossectomy for tongue cancer significantly impacts speech and swallowing, often requiring feeding tubes or esophagostomy. Survival rates decrease over time, highlighting the critical nature of this advanced cancer treatment.

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    Area of Science:

    • Oncology
    • Head and Neck Surgery
    • Speech Pathology

    Background:

    • Advanced tongue carcinoma and recurrent cases necessitate aggressive surgical intervention.
    • Total glossectomy is a radical procedure with significant functional implications.

    Purpose of the Study:

    • To evaluate the functional outcomes and survival rates following total glossectomy for tongue cancer.
    • To assess the impact of glossectomy on speech, deglutition, and pulmonary complications.

    Main Methods:

    • Retrospective analysis of 45 patients undergoing total glossectomy.
    • Data collection on concurrent procedures (laryngectomy, mandibulectomy), speech, swallowing function, and survival.

    Main Results:

    • 71% of patients with an intact larynx retained useful speech, compared to 12.5% with laryngectomy.

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  • 31% had no swallowing issues; 53% required nasogastric tubes or other feeding support.
  • Significant aspiration problems (37%) and pulmonary infections (7.5%) were observed.
  • Postoperative salvage rates at 1, 5, and 10 years were 27.5%, 20%, and 10%, respectively.

    • Conclusions:

    • Total glossectomy presents substantial challenges in speech and swallowing rehabilitation.
    • Careful consideration of concurrent procedures and postoperative support is crucial for patient outcomes.
    • Long-term survival rates after total glossectomy for advanced tongue cancer are limited.