[Evaluation of oral and pharyngeal phase of swallowing after glossectomy due to neoplasm].
BACKGROUND
Glossectomy is a disability that leads to dysphagia.


OBJECTIVE
To define oral and pharyngeal dysfunctions with regard to the extent of tongue excision and swallowing efficiency.


METHODS
62 patients were videofluoroscopically examined 2 weeks to 3 months after surgery. Oral and pharyngeal disturbances were analyzed according to W.J. Dodd.


RESULTS
Impaired tongue movement and absence of oral transport were the most frequent oral dysfunctions. Lack of glossopharyngeal closure and abnormal epiglottis mobility were the most frequent pharyngeal dysfunctions.


CONCLUSIONS
Oral phase abnormalities are the result of resection of anatomical structures, while pharyngeal abnormalities are due to a delay in pharyngeal phase initiation and defect of synchronization. Videofluoroscopy is a fundamental method to define oral and pharyngeal dysfunction.
Posio
Violetta
V
Zakład Diagnostyki Obrazowej i Radiologii Interwencyjnej Pomorskiej Akademii Medycznej ul. Unii Lubelskiej 1, 71-252 Szczecin.
Halczy-Kowalik
Ludmila
L
Walecka
Anna
A
D000328:Adult; D000368:Aged; D001259:Ataxia / Q000209:etiology / Q000503:physiopathology; D002933:Cineradiography; D003680:Deglutition Disorders / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000534:rehabilitation; D005260:Female; D005927:Glossectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011015:Pneumonia, Aspiration / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology* / Q000534:rehabilitation; D014062:Tongue Neoplasms / Q000150:complications / Q000601:surgery*