Depth of resection predicts loss of tongue tip sensation after partial glossectomy in oral tongue cancer : A pilot study
Copyright © 2023 Elsevier Ltd. All rights reserved..
OBJECTIVE(S): To characterize the change in sensory function following partial glossectomy for oral tongue cancer (OTC) and to identify predictors of loss of tongue-tip sensation (LoTTS).
MATERIALS AND METHODS: Patients with at least three months follow-up after partial glossectomy for primary OTC were included. All patients underwent a qualitative tongue sensation assessment and an objective tongue sensory exam of the native tongue tip. Additional details regarding the oncologic resection, surgical reconstruction, and pathological stage were collected. Multiple linear and logistic regressions were used for statistical analysis.
RESULTS: Sixty-four patients were enrolled, including 34 (53%) men with a median age of 65 at enrollment. Ten (15%) patients reported LoTTS. Increased depth of resection (DOR) was an independent predictor of LoTTS on multivariate analysis, with an increased risk at a threshold of 1.3 cm. LoTTS was also associated with worse subjective quality of life and perceptive speech performance in our qualitative tongue assessment.
CONCLUSIONS: In this pilot study, we found that DOR is a critical prognostic factor in predicting post treatment function. Patients with an increased DOR, particularly above 1.3 cm, are at greatest risk of LoTTS and associated morbidity. These findings may be used to predict post-operative sensory deficits, manage patients' expectations, and optimize the reconstructive approach. Future studies are needed to validate and replicate our results.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:147 |
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| Enthalten in: |
Oral oncology - 147(2023) vom: 12. Dez., Seite 106595 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Cortina, Luis E [VerfasserIn] |
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| Links: |
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| Themen: |
Glossectomy |
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| Anmerkungen: |
Date Completed 24.11.2023 Date Revised 24.11.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.oraloncology.2023.106595 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM363306951 |
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| 100 | 1 | |a Cortina, Luis E |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Depth of resection predicts loss of tongue tip sensation after partial glossectomy in oral tongue cancer |b A pilot study |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Completed 24.11.2023 | ||
| 500 | |a Date Revised 24.11.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 Elsevier Ltd. All rights reserved. | ||
| 520 | |a OBJECTIVE(S): To characterize the change in sensory function following partial glossectomy for oral tongue cancer (OTC) and to identify predictors of loss of tongue-tip sensation (LoTTS) | ||
| 520 | |a MATERIALS AND METHODS: Patients with at least three months follow-up after partial glossectomy for primary OTC were included. All patients underwent a qualitative tongue sensation assessment and an objective tongue sensory exam of the native tongue tip. Additional details regarding the oncologic resection, surgical reconstruction, and pathological stage were collected. Multiple linear and logistic regressions were used for statistical analysis | ||
| 520 | |a RESULTS: Sixty-four patients were enrolled, including 34 (53%) men with a median age of 65 at enrollment. Ten (15%) patients reported LoTTS. Increased depth of resection (DOR) was an independent predictor of LoTTS on multivariate analysis, with an increased risk at a threshold of 1.3 cm. LoTTS was also associated with worse subjective quality of life and perceptive speech performance in our qualitative tongue assessment | ||
| 520 | |a CONCLUSIONS: In this pilot study, we found that DOR is a critical prognostic factor in predicting post treatment function. Patients with an increased DOR, particularly above 1.3 cm, are at greatest risk of LoTTS and associated morbidity. These findings may be used to predict post-operative sensory deficits, manage patients' expectations, and optimize the reconstructive approach. Future studies are needed to validate and replicate our results | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Glossectomy | |
| 650 | 4 | |a Quality of life | |
| 650 | 4 | |a Sensation | |
| 650 | 4 | |a Tongue | |
| 650 | 4 | |a Tongue neoplasm | |
| 700 | 1 | |a Meyer, Charles D |e verfasserin |4 aut | |
| 700 | 1 | |a Feng, Allen L |e verfasserin |4 aut | |
| 700 | 1 | |a Lin, Derrick T |e verfasserin |4 aut | |
| 700 | 1 | |a Deschler, Daniel G |e verfasserin |4 aut | |
| 700 | 1 | |a Richmon, Jeremy D |e verfasserin |4 aut | |
| 700 | 1 | |a Varvares, Mark A |e verfasserin |4 aut | |
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