title: Long-term subjective tongue function after partial glossectomy.
abstract: There have been limited studies of subjective tongue function over long-term follow-up in spite of swallowing and articulation disorders are common complications of glossectomy. To assess long-term subjective swallowing and articulation function after partial glossectomy. A total of 63 patients with the mobile tongue cancer who underwent partial glossectomy without reconstruction were interviewed to score their swallowing and articulation function on a 100-point scale. The relation of this subjective scoring to the perioperative data was subjected to multivariate analysis. The mean patient age was 53·4 (19-81) years, and the mean follow-up duration was 78·9 (14-277) months. Mean swallowing and articulation function score was 87·7 ± 6·1 and 88·6 ± 5·4. Age, follow-up duration, T stage and resection volume were significantly correlated with swallowing function (P = 0·026, 0·029, 0·016, 0·002, respectively); follow-up duration was correlated with articulation function (P = 0·039). Patients who undergo partial glossectomy without reconstruction generally demonstrate good function on long-term follow-up. Subjective dysfunction was correlated with larger resection volume, older age and shorter follow-up duration.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: D Y
authors.initials: DY
authors.lastname: Lee
authors.forename: Y-J
authors.initials: YJ
authors.lastname: Ryu
authors.forename: J H
authors.initials: JH
authors.lastname: Hah
authors.forename: T-K
authors.initials: TK
authors.lastname: Kwon
authors.forename: M-W
authors.initials: MW
authors.lastname: Sung
authors.forename: K H
authors.initials: KH
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003679:Deglutition / Q000502:physiology*; D005260:Female; D005927:Glossectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D013065:Speech Intelligibility / Q000502:physiology*; D014059:Tongue / Q000503:physiopathology*; D014062:Tongue Neoplasms / Q000601:surgery*; D016896:Treatment Outcome
keywords: articulation; mobile tongue; partial glossectomy; swallowing; tongue cancer