Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of post-glossectomy defect following [partial/total] resection for [pathology]. Chief complaints include dysphagia, dysarthria, and impaired oral bolus control. Assessment of current functional status, nutritional intake, and speech intelligibility is required.
Clinical Examination Findings
Intraoral examination reveals a [size in cm] defect involving the [lateral border/base of tongue/floor of mouth]. Assessment of mucosal integrity, presence of granulation tissue, status of the reconstructed flap (if applicable), and evaluation of residual tongue mobility and sensation. Assessment of trismus and oral hygiene status.
Treatment Protocol
Surgical plan involves [primary closure/local flap/free tissue transfer (e.g., ALT, RFF)]. Post-operative management includes aggressive speech and swallow therapy, nutritional optimization via PEG tube if necessary, and close monitoring for flap viability or wound dehiscence.