POSTOPERATIVE SWALLOWING FUNCTION IN TONGUE AND ORAL FLOOR CANCER PATIENTS RECONSTRUCTED WITH A RECTO-ABDOMINAL MYOCUTANEOUS FREE FLAP AFTER GLOSSECTOMY

DOI PubMed 6 Citations 20 References
  • ENOMOTO HIROYUKI
    Department of Otorhinolaryngology, Yokohama City University School of Medicine
  • TSUKUDA MAMORU
    Department of Otorhinolaryngology, Yokohama City University School of Medicine
  • MOCHIMATSU IZUMI
    Department of Otorhinolaryngology, Yokohama City University School of Medicine
  • KAWAI SATOSHI
    Department of Otorhinolaryngology, Yokohama City University School of Medicine
  • IKEMA YOKO
    Department of Otorhinolaryngology, Yokohama City University School of Medicine
  • YOSHIDA TOYOKAZU
    Department of Plastic Surgery, Yokohama City University School of Medicine
  • HIROSE HAJIME
    School of Allied Health Science, Kitasato University

Bibliographic Information

Other Title
  • 遊離腹直筋皮弁で再建した舌・口腔底癌術後症例の嚥下機能
  • QUANTITATIVE ASSESSMENT OF RECONSTRUCTED TISSUE MOVEMENT
  • 再建組織の動きの定量的評価

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Abstract

We examined the postoperative swallowing function of 12 tongue and oral floor cancer patients reconstructed with a recto-abdominal myocutaneous free flap after glossectomy. On the basis of the resection site, the present cases were classified into either anterior type or lateral type. Subjective evaluation of postoperative swallowing function was obtained from self-reports from patients. The movement of the reconstructed tissue was evaluated videofluorographically during swallowing, by tracking the movement of two small pellets temporarily attached to the anterior and central portions of the reconstructed tongue. The trajectory of the two pellets and the selected point of the hyoid bone were recorded together with the distance between the plate and the tongue dorsum, and between the posterior pharyngeal wall and the tongue base. Using a personal computer, a quantitative study of the video images was performed. The results were summarized as follows. 1) The movement pattern of the reconstructed tissue was generally saccadic rather than smooth. It was suggested that the swallowing pattern of the patients was different to that of normal controls. 2) Postoperative swallowing function was poorer in cases of the anterior type when compared to the lateral type. 3) In general, cases which showed relatively wide movement range appeared to achieve subjectively satisfactory swallowing function.

Journal

  • Nippon Jibiinkoka Gakkai Kaiho

    Nippon Jibiinkoka Gakkai Kaiho 99 (12), 1729-1737,1811, 1996

    Japanese Society of Otorhinolaryngology-Head and neck surgery

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