Functional outcomes after glossectomies. Pilot study using a thrombin-fibrinogen biosponge (TachoSil©).

Publication date: Available online 21 July 2018

Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

Author(s): Francisco J. Cuesta-González, Carlos D. Arranz-Obispo, Laura Pozuelo-Arquimbau, Ramón Sieira-Gil, Antoni Marí Roig

Abstract

Objective

Analyze if the use of TachoSil^©(thrombin-fibrinogen biosponge) has any advantage in tongue healing.

Study Design

A retrospective study with 30 patients treated of partial glossectomy (below half a tongue) was designed. We compared the results between using the biosponge (15 patients) and a control group (the remaining 15).

Variables taken into consideration were, bolus clearance, frenulum flexibility and oral transit time. With these parameters we made a tongue remaining functional score (TRF) to asses tongue functionality after the surgery. We also evaluated long-term quality of Life with the Functional Intra-Oral Glasgow Score (FIGS).

Results

In this study TRF score, Bolus clearance, oral transit time and frenulum flexibility was significantly improved in the biosponge group. However, there were no differences between groups in FIGS.

Conclusion

The use of the biosponge in this pilot study demonstrates positive long-term effects in lingual healing and functionality after partial glossectomies.

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