BMC oral health · 2026
Functional outcomes in early-stage tongue cancer patients following partial glossectomy: a pilot study comparing primary closure and secondary healing with biomaterials.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Do Jiwon, Yoon Kyeong Hui, Han Jeong Joon, Myoung Hoon, Kwon Ik-Jae
Аннотация
BACKGROUND: This retrospective study explores primary closure (PC) and secondary healing (SH) using biomaterials (a double layer of Matriderm® and Neoveil®) in tongue cancer surgery, focusing on postoperative outcomes and indicators of functional recovery, including speech evaluation, movement, and discomfort.
METHODS: A retrospective analysis of 20 patients who underwent partial glossectomy without free flap reconstruction at Seoul National University Dental Hospital between September 2020 and December 2023 was conducted. Patients were divided into PC (n = 10) and SH with biomaterials (n = 10) groups. Data included demographic details, clinical characteristics, and speech evaluation results from the urimal test of articulation and phonology (U-TAP), multi-dimensional voice program (MDVP), speech mechanism screening test (SMST), intelligibility, movement, and discomfort.
RESULTS: The SH group showed a significantly larger mean surgical defect dimension (P < 0.05). No significant differences were found in sex, depth of invasion, tumor–node–metastasis (TNM) stage, and tumor location. Functional outcomes showed no significant differences in U-TAP scores, MDVP parameters, SMST scores, intelligibility, movement, or discomfort.
CONCLUSIONS: In this retrospective pilot study, biomaterial-assisted SH was feasible in selected patients and showed broadly similar postoperative speech-related outcomes to PC; however, comparisons should be interpreted cautiously due to baseline imbalances and confounding by indication.
SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12903-026-08491-4.
METHODS: A retrospective analysis of 20 patients who underwent partial glossectomy without free flap reconstruction at Seoul National University Dental Hospital between September 2020 and December 2023 was conducted. Patients were divided into PC (n = 10) and SH with biomaterials (n = 10) groups. Data included demographic details, clinical characteristics, and speech evaluation results from the urimal test of articulation and phonology (U-TAP), multi-dimensional voice program (MDVP), speech mechanism screening test (SMST), intelligibility, movement, and discomfort.
RESULTS: The SH group showed a significantly larger mean surgical defect dimension (P < 0.05). No significant differences were found in sex, depth of invasion, tumor–node–metastasis (TNM) stage, and tumor location. Functional outcomes showed no significant differences in U-TAP scores, MDVP parameters, SMST scores, intelligibility, movement, or discomfort.
CONCLUSIONS: In this retrospective pilot study, biomaterial-assisted SH was feasible in selected patients and showed broadly similar postoperative speech-related outcomes to PC; however, comparisons should be interpreted cautiously due to baseline imbalances and confounding by indication.
SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12903-026-08491-4.