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  1. Article ; Online: Unlocking tracheoesophageal speech from pharyngoesophageal spasm: preliminary results of a videofluoroscopic-guided botulinum toxin A injection technique.

    Bandi, Francesco / Chu, Francesco / Zurlo, Valeria / Di Natale, Valentina / Zorzi, Stefano / Pietrobon, Giacomo / De Berardinis, Rita / Tagliabue, Marta / Ansarin, Mohssen

    European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

    2024  Volume 281, Issue 4, Page(s) 1885–1893

    Abstract: Purpose: The tracheoesophageal puncture for the voice prosthesis (VP) placement is the recognized gold standard in post-laryngectomy voice rehabilitation. Despite the development of specific intraoperative techniques, a subset of patients will suffer ... ...

    Abstract Purpose: The tracheoesophageal puncture for the voice prosthesis (VP) placement is the recognized gold standard in post-laryngectomy voice rehabilitation. Despite the development of specific intraoperative techniques, a subset of patients will suffer from poor functional outcomes due to pharyngoesophageal spasms (PES). This paper evaluates the functional outcomes after transcutaneous botulinum toxin type A (BTX-A) infiltration for PES with a videofluoroscopy-guided technique.
    Methods: Since 2022, eight consecutive patients with VP and affected by PES were treated with BTX-A injection by a standard videofluoroscopic guided technique at the European Institute of Oncology, IRCCS (IEO) in Milan. A lidocaine test was performed pre-operatively to evaluate the potential effect of chemical neurectomy. All patients with positive lidocaine tests were injected with 50 IU of BTX-A (Allergan, Irvine, CA) according to the sites marked during the videofluoroscopy. Reported symptoms (VHI, SECEL), perceptual (INFVo), aerodynamic (MPT) and manometric parameters were collected before and after treatment.
    Results: In all cases, BTX-A was performed as an outpatient procedure without complications. For seven patients, only one BTX-A injection was needed, while one patient required a re-injection. Subjective and perceptive improvement after BTX-A was significant for VHI, SECEL and INFVo. MPT showed significant improvement after a chemical neurectomy. After a mean follow-up of 6 months, all patients maintained a good TES quality.
    Conclusion: The videofluoroscopic guided BTX-A injection of the pharyngoesophageal tract showed to be a feasible and reproducible technique in all cases. The pharyngoesophageal videofluoroscopy allows defining of patients' anatomical landmarks that help the surgeon to perform a homogeneous injection, empowered by post-injection massage.
    MeSH term(s) Humans ; Botulinum Toxins, Type A ; Speech ; Laryngectomy/adverse effects ; Speech, Esophageal ; Spasm/etiology ; Lidocaine ; Treatment Outcome
    Chemical Substances Botulinum Toxins, Type A (EC 3.4.24.69) ; Lidocaine (98PI200987)
    Language English
    Publishing date 2024-01-27
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1017359-6
    ISSN 1434-4726 ; 0937-4477
    ISSN (online) 1434-4726
    ISSN 0937-4477
    DOI 10.1007/s00405-024-08448-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Modified transcervical lipofilling of the base of the tongue under local anaesthesia: Case series.

    Chu, Francesco / De Benedetto, Luigi / Zurlo, Valeria / Mossinelli, Chiara / Zorzi, Stefano / Tagliabue, Marta / De Berardinis, Rita / Bandi, Francesco / Pietrobon, Giacomo / Ansarin, Mohssen

    Ear, nose, & throat journal

    2022  , Page(s) 1455613221097201

    Abstract: Laryngeal carcinoma represents one-third of all head and neck cancers and is burdened by significant morbidity and mortality for advanced-stage disease. Surgical treatments, including Open Partial Horizontal Laryngectomy (OPHL), are often followed by ... ...

    Abstract Laryngeal carcinoma represents one-third of all head and neck cancers and is burdened by significant morbidity and mortality for advanced-stage disease. Surgical treatments, including Open Partial Horizontal Laryngectomy (OPHL), are often followed by long-lasting swallowing rehabilitation and more rarely, persistent dysphagia. Some authors reported single cases, successfully treated with fat injection of the base of tongue, but nowadays, a standardized technique has never been described so far. We provide a step-by-step technique description of the trans-cervical lipofilling of the base of the tongue (BOT) under local anaesthesia in a case series of three patients. The functional results have been evaluated with a videofluoroscopic study of deglutition and Penetration-Aspiration Score. The procedure was well tolerated; all patients were discharged after 24 hours without any majorcomplications. After six months, all patients had a steady improvement in swallowing. During follow-up, the videofluoroscopic study of deglutition confirmed a sensitive amelioration of the Penetration-Aspiration Score and an empowered base of tongue retropulsion. Finally, the lipofilling of the BOT under local anaesthesia showed to be a feasible, and reproducible procedure, for dysphagia after OPHLs.
    Language English
    Publishing date 2022-04-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 750153-5
    ISSN 1942-7522 ; 0145-5613
    ISSN (online) 1942-7522
    ISSN 0145-5613
    DOI 10.1177/01455613221097201
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Intensity-Modulated Radiotherapy (IMRT) following Conservative Surgery of the Supraglottic Region: Impact on Functional Outcomes.

    Alterio, Daniela / Marani, Simona / Zurlo, Valeria / Zorzi, Stefano Filippo / Ferrari, Annamaria / Volpe, Stefania / Bandi, Francesco / Vigorito, Sabrina / Vincini, Maria Giulia / Gandini, Sara / Gaeta, Aurora / Fodor, Cristiana Iuliana / Casbarra, Alessia / Zaffaroni, Mattia / Starzyńska, Anna / Belgioia, Liliana / Ansarin, Mohssen / Aristei, Cynthia / Jereczek-Fossa, Barbara Alicja

    Cancers

    2022  Volume 14, Issue 11

    Abstract: The aim of the present study was to investigate the role of intensity-modulated radiotherapy (IMRT) on the toxicity profile of patients treated with conservative surgery (CS) of the supraglottic (SG) region. Data on patients treated with CS and ... ...

    Abstract The aim of the present study was to investigate the role of intensity-modulated radiotherapy (IMRT) on the toxicity profile of patients treated with conservative surgery (CS) of the supraglottic (SG) region. Data on patients treated with CS and postoperative radiotherapy (PORT)-IMRT were prospectively collected. Results. In total, 20 patients were analyzed. Of these, six patients (35%) required the positioning of a temporary tracheostomy. The functional larynx preservation rate was 95%. Females had a higher risk of both endoscopic intervention and chondronecrosis, while the median age was significantly higher in patients requiring enteral nutrition. The incidence of long-term severe toxicities was lower in patients treated with IMRT than in the historical 3D-CRT cohort. Patients who had received PORT-IMRT achieved a lower rate of permanent laryngeal and swallowing dysfunctions. Overall, results from the comparison with the historical 3D-CRT cohort favor the IMRTs.
    Language English
    Publishing date 2022-05-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers14112600
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Mediterranean diet and colorectal cancer: A systematic review.

    Farinetti, Alberto / Zurlo, Valeria / Manenti, Antonio / Coppi, Francesca / Mattioli, Anna Vittoria

    Nutrition (Burbank, Los Angeles County, Calif.)

    2017  Volume 43-44, Page(s) 83–88

    Abstract: Colorectal cancer is the third most common cancer worldwide, especially in developed countries where an estimated 60% of all cases occur. There is evidence of a higher risk for CRC in Western society, where people tend to eat more red and processed meat ... ...

    Abstract Colorectal cancer is the third most common cancer worldwide, especially in developed countries where an estimated 60% of all cases occur. There is evidence of a higher risk for CRC in Western society, where people tend to eat more red and processed meat than those living along the Mediterranean coast, who have a decreased overall cancer mortality, which is correlated to their eating habits, such as Mediterranean diet. The aim of this review was to evaluate the correlation between three components of the Mediterranean diet (olive oil, red wine, and tomatoes) and incidence and progression of colorectal cancer. As such, we conducted a literature search using keywords "colorectal cancer," "dietary pattern," "Mediterranean diet," "olive oil," "protective effects," "resveratrol," and "lycopene." Olive oil polyphenols, red wine resveratrol, and tomato lycopene showed several characteristics in vitro that interfere with molecular cancer pathways. At the same time, many clinical studies have reported an association of these components with a reduction in cancer initiation and progression. More clinical studies are needed to identify the precise dose and administration of single agents or their combination to produce a coadjutant treatment to those already applied in chemoprevention and oncologic treatment.
    Language English
    Publishing date 2017-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 639259-3
    ISSN 1873-1244 ; 0899-9007
    ISSN (online) 1873-1244
    ISSN 0899-9007
    DOI 10.1016/j.nut.2017.06.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Upfront surgical organ-preservation strategy in advanced-stage laryngeal cancer.

    Zorzi, Stefano Filippo / Lazio, Maria Silvia / Pietrobon, Giacomo / Chu, Francesco / Zurlo, Valeria / Bibiano, Debora / De Benedetto, Luigi / Cattaneo, Augusto / De Berardinis, Rita / Mossinelli, Chiara / Alterio, Daniela / Rocca, Maria Cossu / Gandini, Sara / Gallo, Oreste / Chiocca, Susanna / Tagliabue, Marta / Ansarin, Mohssen

    American journal of otolaryngology

    2021  Volume 43, Issue 1, Page(s) 103272

    Abstract: Purpose: Advanced-stage laryngeal cancer is a challenging disease that needs multimodal treatment. Medical and surgical organ-preservation strategies have been developing in the last decades to spare these functions while granting cancer cure. The ... ...

    Abstract Purpose: Advanced-stage laryngeal cancer is a challenging disease that needs multimodal treatment. Medical and surgical organ-preservation strategies have been developing in the last decades to spare these functions while granting cancer cure. The current work presents the experience of a tertiary-care center in conservative surgery for advanced-stage laryngeal cancer.
    Materials and methods: We collected clinical data of patients submitted to open partial horizontal laryngectomies (OPHLs) and any possible adjuvant treatment from 2005 to 2018. Outcomes were also compared to the most recent studies reporting on both medical and surgical organ-preservation strategies.
    Results: One hundred ten patients were included in the analysis. Adjuvant therapy was employed in 51% of cases. The local control rate was 96.4%, while overall survival (OS) was 67%, and laryngo-esophageal dysfunction free survival (LEDFS) was 66%. Stage IV and vascular invasion were associated with a statistically-significant worse survival.
    Conclusions: OPHLs are valid as upfront treatment in fit patients affected by advanced-stage laryngeal cancer. Disease control and function preservation are granted in a significant percentage of cases, even when followed by adjuvant therapy.
    MeSH term(s) Combined Modality Therapy ; Female ; Humans ; Laryngeal Neoplasms/mortality ; Laryngeal Neoplasms/pathology ; Laryngeal Neoplasms/surgery ; Laryngectomy/methods ; Male ; Middle Aged ; Neoplasm Invasiveness ; Neoplasm Staging ; Organ Sparing Treatments/methods ; Survival Rate ; Treatment Outcome
    Language English
    Publishing date 2021-10-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604541-8
    ISSN 1532-818X ; 0196-0709
    ISSN (online) 1532-818X
    ISSN 0196-0709
    DOI 10.1016/j.amjoto.2021.103272
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Swallowing Disorders after Oral Cavity and Pharyngolaryngeal Surgery and Role of Imaging.

    Giannitto, Caterina / Preda, Lorenzo / Zurlo, Valeria / Funicelli, Luigi / Ansarin, Mohssen / Di Pietro, Salvatore / Bellomi, Massimo

    Gastroenterology research and practice

    2017  Volume 2017, Page(s) 7592034

    Abstract: Head and neck squamous cell carcinoma is the sixth most common cancer diagnosed worldwide and the eighth most common cause of cancer death. Malignant tumors of the oral cavity, oropharynx, and larynx can be treated by surgical resection or radiotheraphy ... ...

    Abstract Head and neck squamous cell carcinoma is the sixth most common cancer diagnosed worldwide and the eighth most common cause of cancer death. Malignant tumors of the oral cavity, oropharynx, and larynx can be treated by surgical resection or radiotheraphy with or without chemotheraphy and have a profound impact on quality of life functions, including swallowing. When surgery is the chosen treatment modality, the patient may experience swallowing impairment in the oral and pharyngeal phases of deglutition. A videofluoroscopic study of swallow enables the morphodynamics of the pharyngeal-esophageal tract to be accurately examined in patients with prior surgery. These features allow an accurate tracking of the various phases of swallowing in real time, identifying the presence of functional disorders and of complications during the short- and long-term postoperative recovery. The role of imaging is fundamental for the therapist to plan rehabilitation. In this paper, the authors aim to describe the videofluoroscopic study of swallow protocol and related swallowing impairment findings in consideration of different types of surgery.
    Language English
    Publishing date 2017-03-22
    Publishing country Egypt
    Document type Journal Article ; Review
    ZDB-ID 2435460-0
    ISSN 1687-630X ; 1687-6121
    ISSN (online) 1687-630X
    ISSN 1687-6121
    DOI 10.1155/2017/7592034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: The interference between oxaliplatin & anti-EGFR therapies: a different hypothesis to explain the 'unexplainable'.

    Basso, Michele / Dadduzio, Vincenzo / Rossi, Sabrina / D'Argento, Ettore / Strippoli, Antonia / Di Salvatore, Mariantonietta / Orlandi, Armando / Zurlo, Valeria / Di Noia, Vincenzo / Barone, Carlo

    Personalized medicine

    2018  Volume 15, Issue 4, Page(s) 319–327

    Abstract: This paper has been written because we have a differing idea concerning the suspected negative interference between oxaliplatin and anti-EGFR therapies in cancer patients. Several multicenter, randomized, controlled clinical trials investigated whether ... ...

    Abstract This paper has been written because we have a differing idea concerning the suspected negative interference between oxaliplatin and anti-EGFR therapies in cancer patients. Several multicenter, randomized, controlled clinical trials investigated whether the efficacy of oxaliplatin-based chemotherapy is improved by the addition of anti-EGFR therapies in patients affected by KRAS wild-type advanced colorectal cancer. Results of these trials have produced puzzling findings, with some studies demonstrating improved survival and other studies showing no differences in overall survival between experimental and control arms. Moreover, a detrimental effect has been demonstrated in some settings. Nevertheless, the extent of this interaction remains uncertain. Some physicians proposed personal interpretations. This paper describes our hypothesis.
    MeSH term(s) Antineoplastic Agents/therapeutic use ; Cetuximab/therapeutic use ; Colorectal Neoplasms/drug therapy ; Colorectal Neoplasms/genetics ; Drug Interactions ; ErbB Receptors/antagonists & inhibitors ; Humans ; Multicenter Studies as Topic ; Oxaliplatin/therapeutic use ; Panitumumab/therapeutic use ; Precision Medicine ; Protein Kinase Inhibitors/therapeutic use ; Proto-Oncogene Proteins p21(ras)/genetics ; Randomized Controlled Trials as Topic ; Survival Analysis ; Treatment Outcome
    Chemical Substances Antineoplastic Agents ; KRAS protein, human ; Protein Kinase Inhibitors ; Oxaliplatin (04ZR38536J) ; Panitumumab (6A901E312A) ; EGFR protein, human (EC 2.7.10.1) ; ErbB Receptors (EC 2.7.10.1) ; Proto-Oncogene Proteins p21(ras) (EC 3.6.5.2) ; Cetuximab (PQX0D8J21J)
    Language English
    Publishing date 2018-06-21
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2299146-3
    ISSN 1744-828X ; 1741-0541
    ISSN (online) 1744-828X
    ISSN 1741-0541
    DOI 10.2217/pme-2017-0082
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Endovascular repair versus open repair in the treatment of ruptured aortic aneurysms: a systematic review.

    Amato, Bruno / Fugetto, Francesco / Compagna, Rita / Zurlo, Valeria / Barbetta, Andrea / Petrella, Giuseppe / Aprea, Giovanni / Danzi, Michele / Rocca, Aldo / de Franciscis, Stefano / Serra, Raffaele

    Minerva chirurgica

    2018  Volume 74, Issue 6, Page(s) 472–480

    Abstract: Introduction: Rupture of abdominal aortic aneurysm remains a fatal event in up to 65% of cases and emergency open surgery (ruptured open aneurysm repair or rOAR) has a great intraoperative mortality of about 30-50%. The introduction of endovascular ... ...

    Abstract Introduction: Rupture of abdominal aortic aneurysm remains a fatal event in up to 65% of cases and emergency open surgery (ruptured open aneurysm repair or rOAR) has a great intraoperative mortality of about 30-50%. The introduction of endovascular repair of abdominal aortic aneurysm (ruptured endovascular aneurysm repair or rEVAR) has rapidly challenged the conventional approach to this catastrophic event. The purpose of this systematic review is to compare the outcomes of open surgical repair and endovascular interventions.
    Evidence acquisition: A literature search was performed using Medline, Scopus, and Science Direct from August 2010 to March 2017 using keywords identified and agreed by the authors. Randomized trials, cohort studies, and case-report series were contemplated to give a breadth of clinical data.
    Evidence synthesis: Ninety-three studies were included in the final analysis. Thirty-five (50.7%) of the listed studies evaluating the within 30 days mortality rates deposed in favor of rEVAR, while the others (comprising all four included RCTs) failed detecting any difference. Late mortality rates were found to be lower in rEVAR group in seven on twenty-seven studies (25.9%), while one (3.7%) reported higher mortality rates following rEVAR performed before 2005, one found lower incidence of mortality at 6 months in the endovascular group but higher rates in the same population at 8 years of follow-up, and the remaining (66.7%) (including all three RCTs) failed finding any benefit of rEVAR on rOAR. A lower incidence of complications was reported by thirteen groups (46.4%), while other thirteen studies did not find any difference between rEVAR and rOAR. Each of these two conclusions was corroborated by one RCTs. Other two studies (7.2%) found higher rates of tracheostomies, myocardial infarction, and acute tubular necrosis or respiratory, urinary complications, and acute renal failure respectively in rOAR group. The majority of studies (59.0%, 72.7%, and 89.3%, respectively) and all RCTs found significantly lower rates of length of hospitalization, intensive care unit transfer, and blood loss with or without transfusion need in rEVAR group. The large majority of the studies did not specified neither the type nor the brands of employed stent grafts.
    Conclusions: The bulk of evidence regarding the comparison between endovascular and open surgery approach to RAAA points to: 1) non-inferiority of rEVAR in terms of early (within 30 days) and late mortality as well as rate of complications and length of hospitalization, with trends of better outcomes associated to the endovascular approach; 2) significantly better outcomes in terms of intensive care unit transfer and blood loss with or without transfusion need in the rEVAR group. These conclusions reflect the results of the available RCTs included in the present review. Thus rEVAR can be considered a safe method in treating RAAA and we suggest that it should be preferred when technically feasible. However, more RCTs are needed in order to give strength of these evidences, bring to definite clinical recommendations regarding this subject, and assess the superiority (if present) of one or more brands of stent grafts over the others.
    MeSH term(s) Aorta, Abdominal/surgery ; Aortic Aneurysm, Abdominal/mortality ; Aortic Aneurysm, Abdominal/surgery ; Aortic Rupture/mortality ; Aortic Rupture/surgery ; Cohort Studies ; Endovascular Procedures/adverse effects ; Endovascular Procedures/methods ; Endovascular Procedures/mortality ; Humans ; Incidence ; Postoperative Complications/epidemiology ; Randomized Controlled Trials as Topic ; Time Factors
    Language English
    Publishing date 2018-05-25
    Publishing country Italy
    Document type Comparative Study ; Journal Article ; Systematic Review
    ZDB-ID 123603-9
    ISSN 1827-1626 ; 0026-4733
    ISSN (online) 1827-1626
    ISSN 0026-4733
    DOI 10.23736/S0026-4733.18.07768-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Functional base of tongue fat injection in a patient with severe postradiation Dysphagia.

    Navach, Valeria / Calabrese, Luca Salvatore / Zurlo, Valeria / Alterio, Daniela / Funicelli, Luigi / Giugliano, Gioacchino

    Dysphagia

    2010  Volume 26, Issue 2, Page(s) 196–199

    Abstract: Lipofilling is a well-established technique in reconstructive plastic surgery. It is used primarily in recontouring of the body and face to correct post-traumatic and congenital defects. The regenerative properties of adipose tissue have allowed the use ... ...

    Abstract Lipofilling is a well-established technique in reconstructive plastic surgery. It is used primarily in recontouring of the body and face to correct post-traumatic and congenital defects. The regenerative properties of adipose tissue have allowed the use of the lipofilling technique for the treatment of burn sequelae and irradiated breast to improve tissue quality and elasticity. We report on the case of a patient treated with radiation therapy for a nasopharyngeal carcinoma who presented with severe postradiation dysphagia. The lipofilling technique was successfully used to improve abnormal swallowing. The technical details and functional outcomes are discussed.
    MeSH term(s) Adipose Tissue ; Carcinoma ; Deglutition ; Deglutition Disorders/etiology ; Deglutition Disorders/therapy ; Electromyography ; Fluoroscopy/instrumentation ; Fluoroscopy/methods ; Humans ; Injections ; Male ; Middle Aged ; Nasopharyngeal Carcinoma ; Nasopharyngeal Neoplasms/radiotherapy ; Radiotherapy/adverse effects ; Time Factors ; Tongue ; Video Recording/instrumentation ; Video Recording/methods
    Language English
    Publishing date 2010-08-01
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 632764-3
    ISSN 1432-0460 ; 0179-051X
    ISSN (online) 1432-0460
    ISSN 0179-051X
    DOI 10.1007/s00455-010-9293-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Total glossectomy with preservation of the larynx: oncological and functional results.

    Navach, Valeria / Zurlo, Valeria / Calabrese, Luca / Massaro, Maria Angela / Bruschini, Roberto / Giugliano, Gioacchino / Ansarin, Mohssen / Chiesa, Fausto

    The British journal of oral & maxillofacial surgery

    2013  Volume 51, Issue 3, Page(s) 217–223

    Abstract: Our aim was to analyse the overall and disease-free survival (DFS), time to recovery of oral feeding, and morbidity, in a consecutive series of patients who had total glossectomy with preservation of the larynx for advanced cancer of the tongue at the ... ...

    Abstract Our aim was to analyse the overall and disease-free survival (DFS), time to recovery of oral feeding, and morbidity, in a consecutive series of patients who had total glossectomy with preservation of the larynx for advanced cancer of the tongue at the European institute of Oncology (Milan). From June 2002 to April 2011, 37 patients who were treated for advanced cancer of the tongue had total glossectomy, bilateral neck dissection, and preservation of the larynx. Various flaps were used for reconstruction. Overall and disease-free survival were assessed from the day of operation to the latest outpatient examination. Postoperative morbidity and rehabilitation of feeding were also assessed. Six patients had major complications, four of whom had a second operation for necrosis of the flap. Actuarial five-year overall survival (OS) and disease-free survival were 54% and 47%. Twenty-four patients (65%) were operated on as their first treatment, and had 79% five-year overall survival and 61% 5-year disease-free survival. Twenty-six patients were eventually able to feed orally postoperatively. Although this retrospective study include a limited number of patients, the results support the validity of total glossectomy as a safe procedure for advanced cancer of the tongue. Pretreated patient were previously treated with surgery, radiotherapy or chemoradiotherapy with curative purposes. Nevertheless, the long period required for recovery of oral feeding indicates that total glossectomy should be reserved for highly motivated patients.
    MeSH term(s) Adult ; Aged ; Chemotherapy, Adjuvant ; Deglutition/physiology ; Disease-Free Survival ; Eating/physiology ; Follow-Up Studies ; Glossectomy/methods ; Glossectomy/rehabilitation ; Graft Survival ; Humans ; Larynx/physiology ; Middle Aged ; Muscle, Skeletal/transplantation ; Neck Dissection/methods ; Organ Sparing Treatments ; Postoperative Complications ; Radiotherapy, Adjuvant ; Reconstructive Surgical Procedures/methods ; Recovery of Function/physiology ; Reoperation ; Retrospective Studies ; Skin Transplantation/methods ; Speech Intelligibility/physiology ; Surgical Flaps ; Survival Rate ; Tongue Neoplasms/surgery ; Young Adult
    Language English
    Publishing date 2013-04
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 605685-4
    ISSN 1532-1940 ; 0266-4356
    ISSN (online) 1532-1940
    ISSN 0266-4356
    DOI 10.1016/j.bjoms.2012.07.009
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