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O-TO-T Advancement Reconstruction for Partial Glossectomy Defects: A Case Series.
Article in OTO open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We present O-T advancement reconstruction (OTAR) in lateral tongue defects, describing technique, indications, outcomes, and limitations. 11 patients with lateral tongue defects who underwent OTAR after earlystage cancer removal. Demographics, staging, functional oral intake scale (FOIS), dysphagia outcome severity scale (DOSS), defect size, and complications were included. Functional outcomes assessed through telephone encounters. Preoperative FOIS and DOSS were 6.9 and 6.8, postoperatively were 4.8 and 5. Mean defect of 4.7 cm × 3.4 cm. Nine patients required nasogastric tubes postoperatively. Site complications included 2 minor dehiscence. By telephone, tongue-biting was reported in 3, mild dysarthria in 3, and food impaction in 2. FOIS and DOSS were 6.7 and 6.5. Reconstruction of tongue defects may be achieved with OTAR as a reliable alternative to primary closure or even more complex microvascular techniques. Utilization may preserve functional swallowing and speech outcomes, most probably due to lateral sulcus sparing features.
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