The effects of palatal augmentation prosthesis after subtotal glossectomy and reconstruction: A case report

Abstract

Patient: A 61-year-old man with tongue cancer presented with the chief complaint of difficulty in swallowing that was caused by a subtotal glossectomy and reconstructive surgery. Based on the results of a swallowing function assessment, palatal augmentation prostheses (PAPs) were provided. At the first visit, the patient took over 90 minutes per serving to eat category 4 (no chewing) universal design food and enteral formulas.

Discussion: About three years have passed since the PAPs were fitted, and the patient’s oral propulsion and swallow onset have improved. The patient can now consume category 3 (collapsed with tongue) universal design foods within 30 minutes. Enteral formulas are no longer necessary.

Conclusion: For patients with tongue cancer who undergo subtotal glossectomy and reconstruction, wearing PAPs allows them to maintain the ability to orally ingest food.