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KMID : 1024320190090010001
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Journal of the Korean Dysphagia Society
2019 Volume.9 No. 1 p.1 ~ p.9
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Dysphagia in Patients with Tongue Cancer Treated with Surgery
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Sung Eun-Jung
Choi Kyoung-Hyo
Kim Ja-Young
Yang Seo-Yon
Roh Jong-Lyel
Choi Seung-Ho
Nam Soon-Yuhl
Kim Sang-Yoon
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Abstract
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Objective: To evaluate the swallowing problems after a primary resection in patients with tongue cancer.
Methods: Thirty-eight patients with primary tongue cancer, who underwent a glossectomy and had undergone a Video Fluoroscopic Swallowing Study (VFSS) prior to surgery in a university hospital between January 2010 and May 2015, were included retrospectively. The clinical and swallowing features, including the VFSS parameters before and after surgery, were analyzed.
Results: Among the 38 patients, 33 patients were T1 and T2 stage. Thirty-one, six and one patient underwent a partial glossectomy, hemiglossectomy, and total glossectomy, respectively. More than ninety percent of the patients had a selective neck dissection. All the patients were on a regular diet before surgery and showed no penetration or aspiration on the VFSS. Immediately after surgery, 33 patients (87%) had to change to non-oral feeding. At discharge, 8 patients (21%) maintained non-oral feeding, and 30 patients ate a limited diet. In a telephone survey (mean 19 months after surgery), among the 25 survey participants, 24 patients (96%) reported no problems with their regular diet.
Conclusion: In tongue cancer patients with low Tumor-Node-Metastasis (TNM), American Joint Committee on Cancer (AJCC) stages, a primary resection of tongue cancer did not cause statistically significant dysphagia after surgery. Although many patients had to change their diet to limited or non-oral feeding immediately after surgery, almost all patients improved and could eat a regular diet after the long term follow up.
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KEYWORD
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Deglutition disorders, Head and neck neoplasms, Deglutition, Tongue neoplasms
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