| Item type |
☆紀要論文 / Departmental Bulletin Paper(1) |
| 公開日 |
2018-01-19 |
| タイトル |
|
|
タイトル |
<Originals> Swallowing function in patients who underwent after subtotal glossectomy and reconstruction with a rectus abdominis musculocutaneous flap |
|
言語 |
en |
| 著者 |
Matsunaga, Kazuhide
Kusuhara, Hirohisa
Enomoto, Akifumi
Mori, Kazunori
Kitano, Mutsukazu
Mukai, Takao
Shimoide, Takeshi
Doi, Katsumi
Isogai, Noritaka
Hamada, Suguru
|
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題 |
tongue cancer, subtotal glossectomy, rectus abdominis musculocutaneous flap, swallowing function |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 著者 所属 |
|
|
値 |
Department of Oral and Maxillofacial Surgery, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Plastic and Reconstructive Surgery, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Oral and Maxillofacial Surgery, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Otorhinolaryngology, Kindai University Sakai Hospital Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Otorhinolaryngology, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Oral and Maxillofacial Surgery, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Oral and Maxillofacial Surgery, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Otorhinolaryngology, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Plastic and Reconstructive Surgery, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Oral and Maxillofacial Surgery, Kindai University Faculty of Medicine |
| 版 |
|
|
出版タイプ |
NA |
|
出版タイプResource |
http://purl.org/coar/version/c_be7fb7dd8ff6fe43 |
| 出版者 名前 |
|
|
出版者 |
Kindai University Medical Association |
| 書誌情報 |
en : ACTA MEDICA KINDAI UNIVERSITY
巻 42,
号 2,
p. 49-55,
発行日 2017-12
|
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
03866092 |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
[Abstract] Purpose: Swallowing function was evaluated 3 years after surgery in three tongue cancer patients who underwent bilateral total neck dissection and subtotal glossectomy with reconstruction using a rectus abdominis musculocutaneous flap. Materials and Methods: The morphology of the flap and swallowing function were evaluated. Swallowing function was assessed by video fluorography with a 10 ml test diet. The items for evaluation of swallowing were: (1) holding the test diet in the oral cavity, (2) epiglottis turnover, (3) aspiration, (4) hyoid bone movement, and (5) maximum width of the esophageal entrance. Results: With regard to flap morphology, two patients had a protuberant flap and one had a semi-protuberant flap. One patient was able to hold the test diet in the oral cavity, while slight flow of the test diet into the pharynx was observed in the other 2 patients. Epiglottis turnover was good in one patient, but was insufficient in two patients. Aspiration was not observed in any of the patients. The hyoid bone moved forward and upward in all three patients. The maximum width of the esophageal entrance was good in all patients. Conclusions: Elevation of the hyoid bone was demonstrated in all three patients, even though almost all of the bilateral suprahyoid muscles had been resected with the exception of stylohyoid. For good postoperative swallowing function and hyoid bone movement after subtotal glossectomy, it is necessary to perform reconstruction with a flap that has sufficient volume and to retain the bilateral stylohyoid muscles. |
AA0050842X-20171200-0049.pdf (734.7 kB)
