Swallowing function in patients with base of tongue cancers treated with primary surgery and reconstructed with a modified radial forearm free flap

Archives of Otolaryngology--head & Neck Surgery
Daniel O'ConnellHadi Seikaly

Abstract

To report swallowing outcomes and biomechanical properties of the base of the tongue (BOT) and the posterior pharyngeal wall (PPW) in patients who undergo surgical reconstruction with the beavertail modification of radial forearm free flap after primary resection of BOT cancer. Prospective cohort study with a 1-year minimum follow-up performed between October 1, 2001, and August 31, 2005. Tertiary care facility. Patients diagnosed as having primary carcinoma of the BOT were treated with primary surgical resection and reconstruction followed by radiotherapy. Inclusion criteria were collection of videofluoroscopic swallowing study (VFSS) data before and 1 year after surgery. Forty-one patients were treated during a 5-year period, and 20 were included in the final analysis. Reconstruction of BOT defects with the beavertail modification of radial forearm free flap followed by postoperative radiation. Aspiration score, pharyngeal residue score, and biomechanical analysis of BOT and PPW mobility were performed using images from VFSSs. Both the BOT and PPW positions were measured from 2 static bony landmarks. Of the 20 patients in the final analysis, 19 (95%) were able to swallow safely at 1 year. Mobility of the BOT after surgery was...Continue Reading

Citations

Nov 23, 2013·Otolaryngologic Clinics of North America·Loni C Arrese, Cathy L Lazarus
Jun 15, 2013·Otolaryngologic Clinics of North America·Jennifer M LavinJohn Maddalozzo
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Feb 13, 2018·Journal of Surgical Oncology·Giuditta MannelliGiuseppe Spinelli
Jul 11, 2013·Current Opinion in Otolaryngology & Head and Neck Surgery·Hans-J WelkoborskyMichael L Hinni
Mar 16, 2017·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Vincent L BironHadi Seikaly
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Jan 30, 2020·Clinical Linguistics & Phonetics·Marion Girod-RouxPierre Badin
Jan 27, 2021·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Takumi HasegawaMasaya Akashi
Nov 3, 2020·Laryngoscope Investigative Otolaryngology·Justin M PyneHadi Seikaly

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