Dysphagia in Patients with Tongue Cancer Treated with Surgery
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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 aVideo Fluoroscopic Swallowing Study (VFSS) prior to surgery in a university hospital between January 2010 andMay 2015, were included retrospectively. The clinical and swallowing features, including the VFSS parameters beforeand after surgery, were analyzed. Results: Among the 38 patients, 33 patients were T1 and T2 stage. Thirty-one, six and one patient underwent apartial glossectomy, hemiglossectomy, and total glossectomy, respectively. More than ninety percent of the patientshad a selective neck dissection. All the patients were on a regular diet before surgery and showed no penetrationor 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 withtheir 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 allpatients improved and could eat a regular diet after the long term follow up.
Abstract
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 aVideo Fluoroscopic Swallowing Study (VFSS) prior to surgery in a university hospital between January 2010 andMay 2015, were included retrospectively. The clinical and swallowing features, including the VFSS parameters beforeand after surgery, were analyzed. Results: Among the 38 patients, 33 patients were T1 and T2 stage. Thirty-one, six and one patient underwent apartial glossectomy, hemiglossectomy, and total glossectomy, respectively. More than ninety percent of the patientshad a selective neck dissection. All the patients were on a regular diet before surgery and showed no penetrationor 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 withtheir 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 allpatients improved and could eat a regular diet after the long term follow up.
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