Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (5): 127-131.doi: 10.6040/j.issn.1673-3770.0.2019.622

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The swallowing function recovery study on tongue flap after horizontal hemilaryngectomy

  

  • Received:2019-12-19 Published:2020-11-17

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Abstract: Objective To investigate the swallowing function recovery on 23 cases of supraglottic laryngeal carcinoma postoperation. Methods From 2016 to 2019, a retrospective swallowing function analysis was performed on 23 cases of supraglottic laryngeal carcinoma. All of the patients underwent horizontal hemilaryngectomy and reconstruction with tongue flap. The M.D. Anderson Dysphasia Inventory(MDADI)was used to evaluate the swallowing function from emotional dimension, social function dimension, and physiological dimension before and after operation. Results 2 patients died during follow-up period.1 case lost follow-up. 20 patients recovered to normal diet. The overall swallowing median score was 90.00［80.00,100.00］, and the postoperative score median was 80.00［80.00,80.00］(P=0.359).The median score of emotion dimension was 91.67［77.50,93.33］, 80.00［80.00,83.33］(P=0.065)after operation. The median score of social function was 90.00［80.00,96.00］before surgery, and 84.00［80.00,92.00］(P=0.587)after surgery. Physiological function median score was 83.75［76.25,89.38］, 80.00［75.00,84.38］(P=0.018)after surgery. Conclusion Tongue flap can improve the swallowing function and the quality of patient life after the horizontal hemilaryngectomy.

Key words: Supraglottic laryngeal cancer, Tongue flap, Swallowing function, MDADI, Reconstruction, Evalution

CLC Number: 

  • R767.91
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