2018 CSO General Scientific Program

“Functional and Quality of Life Outcomes of Total Glossectomy with Laryngeal Preservation and Free-Flap Reconstruction”

Justin M. Pyne, Agnieszka Dzioba, Gabriela Constantinescu, Daniel A. O’Connell, Jeffrey Harris, Matthew Hearn, Vincent Biron, Hadi Seikaly

Abstract

Background: The tongue is essential for human interaction, communication and survival. To date, there are minimal patient reported functional outcomes (PROF) data and quality of life (QOL) outcomes of patients undergoing a total glossectomy with preservation of the larynx (TGLP).

Objective: The purpose of this study is to examine prospectively collected PROF in patients undergoing TGLP.

Methods: Sixteen TGLP patients were identified in the prospective database. Outcomes were measured with the validated questionnaires of SHI, MDADI and EORTC-36 and prospectively recorded pre-operatively and post-operatively.

Results: All patients reported a significant reduction in their swallowing outcomes, and pain level postoperatively. G-tube rates were significantly higher in the older age group. All patients maintained their QOL.

Conclusion: This is the first study describing patient reported outcomes of total glossectomy. Total glossectomy with laryngeal sparing and free flap reconstruction significantly affects swallowing function but maintains speech and overall quality of life outcomes.

Learning Objectives

  1. By the end of this session the otolaryngology-head and neck surgeon will be able to apply three methods used to subjectively evaluate quality of life in individuals who have undergone total glossectomy with laryngeal preservation and reconstruction.
  2. By the end of this session the otolaryngology-head and neck surgeon will be able to consider factors effecting the balance of aggressive treatment for survival and the eventual quality of life outcome when counselling patients suffering from cancer of the tongue.

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Scheduling Details

Posters can be seen in the Gray/Palmer/Pope Ballroom. This room will be open on Sunday, June 12 from 09:00 to 17:00, and on Monday, June 13 from 09:00 to 16:00.

Authors' Contact Details

Corresponding Author: Dr. Hadi Seikaly

Senior Author: Dr. Hadi Seikaly

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