Quality of life of patients with tongue cancer after hemiglossectomy

Abstract

Introduction. The main part among all malignant neoplasms of the oral cavity is tongue cancer, the leading method of treatment of which is surgery. Surgical treatment leads to a violation of such important functions of the language as speech and swallowing, which in turn reduces the quality of life of patients. However, to date, opinions differ on the issue of performing language reconstruction. In addition, there are no clear indications for the use of one or another type of defect replacement, with the help of which it will be possible to achieve the best functional results.Aim. To evaluate the functional results after hemiglossectomy for malignant neoplasms of the tongue, compare various reconstruction strategies (with and without a flap).Materials and methods. The study included 44 patients with tongue cancer with a follow-up period of at least 6 months. Functional results were assessed using a quality of life questionnaire and speech therapy assessment.Results. Patients who underwent tongue reconstruction had higher functional results and the best indicators of quality of life compared to patients who did not undergo reconstruction.Conclusion. Hemiglossectomy leads to impaired speech and swallowing functions and, accordingly, to a decrease in the quality of life. Since performing the reconstruction affects the functional results, it should be properly planned before the operation.