Functional results after total or near total glossectomy with laryngeal preservation.
Functional results after total or near total glossectomy with laryngeal preservation.
复制标题
保留喉部的完全或接近完全舌切除术后的功能结果。
DOI：
10.1001/archotol.1991.01870170058013
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发表时间：
1991
期刊：
影响因子：
--
通讯作者：
Helmuth Goepfert
中科院分区：
文献类型：
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作者：
Randal S. Weber;Laurie A. Ohlms;Julia Bowman;Rhonda F. Jacob;Helmuth Goepfert
局部晚期舌癌是一种毁灭性的疾病，治疗方法有限，在保持功能的同时治愈率很高。为了确定保留喉部的全或近全舌切除术的肿瘤学效果，以及治疗后语言和吞咽康复的可能性，我们回顾了1982年至1989年间接受治疗的27例患者的经验。24例患者符合2年随访条件，其疾病特异性生存率为51%。18例患者（67%）最初吞咽成功，12例患者长期吞咽成功（44%）。25例患者（92%）完成了口头交流。3例患者出现明显的误吸，其中2例患者严重到需要进行间隔喉切除术。本文描述了喉悬吊、腭隆假体和视像透视作为全舌切除术患者康复辅助手段的作用。
Locally advanced tongue cancer is a devastating disease for which there are limited therapeutic options that will result in a high rate of cure while preserving function. To determine the oncologic effectiveness of total or near total glossectomy with laryngeal preservation and the possibility of speech and swallowing rehabilitation following treatment, we reviewed our experience with 27 patients treated between 1982 and 1989. Twenty-four patients were eligible for 2-year follow-up and their disease-specific survival was 51%. Swallowing was achieved initially in 18 patients (67%), while 12 had successful long-term deglutition (44%). Oral communication was accomplished in 25 patients (92%). Significant aspiration occurred in three patients and was severe enough to require interval laryngectomy in two patients. The role of laryngeal suspension, palatal augmentation prosthesis, and videofluoroscopy as rehabilitation adjuncts for the total glossectomy patient are described.