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Oral and Maxillofacial Surgery

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11-01-2023 | Dysphagia | Original Article

Comparison of swallowing disorder in patients with tongue cancer undergoing reconstruction with either a radial forearm free flap or a submental island flap

Authors: Ebrahim Karimi, Zahrasadat Hashemi, Saeed Sohrabpour, Sayed Mostafa Modarres Mousavi, Jaleh Yousefi

Published in: Oral and Maxillofacial Surgery | Issue 1/2024

Abstract

Purpose

In this study, the swallowing status of patients with tongue cancer undergone tongue reconstruction using radial forearm free flaps (RFFF) and submental flaps were compared.

Methods

A total of 26 patients with tongue cancer undergone tongue resection were randomly treated by tongue reconstruction with either submental flap or RFFF approach. Swallowing status of the patients was investigated using fiberoptic endoscopic evaluation of swallowing (FEES) by measurement of pharyngeal residue and penetration scales.

Results

The pharyngeal residue scale in vallecula and pyriform sinus and the average of vallecula and pyriform sinus on days 10 and 30 post-operation as well as penetration scale at the same time showed no significant difference between two groups. However, the time to start oral feeding was significantly reduced in the submental group compared to the free flap group (P = 0.031). A positive Pearson correlation was found between the size of oral tongue and base of tongue resection and some of swallowing parameters.

Conclusion

Since there was no significant difference between submental and free flap respected to swallowing disorder, the submental flap is prior to free flap due to lower cost and hospitalization and less complication after tongue reconstruction.

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Title: Comparison of swallowing disorder in patients with tongue cancer undergoing reconstruction with either a radial forearm free flap or a submental island flap
Authors: Ebrahim Karimi
Zahrasadat Hashemi
Saeed Sohrabpour
Sayed Mostafa Modarres Mousavi
Jaleh Yousefi
Publication date: 11-01-2023
Publisher: Springer Berlin Heidelberg
Keywords: Dysphagia
Dysphagia
Dysphagia
Published in: Oral and Maxillofacial Surgery / Issue 1/2024
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-023-01137-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparison of swallowing disorder in patients with tongue cancer undergoing reconstruction with either a radial forearm free flap or a submental island flap

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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