All three authors are affiliated with Saint Louis University in St. Louis: Gary LaBlance as an associate professor in the departments of communication disorders and otolaryngology head-neck surgery, Karen Kraus as a clinical supervisor in the department of otolaryngology head-neck surgery, and Karen F. Steckol as professor and chair of the department of communication disorders.
Rehabilitation of Swallowing and Communication Following Glossectomy
Article first published online: 3 SEP 2012
1991 Association of Rehabilitation Nurses
Volume 16, Issue 5, pages 266–270, September-October 1991
How to Cite
LaBlance, G. R., Kraus, K. and Steckol, K. F. (1991), Rehabilitation of Swallowing and Communication Following Glossectomy. Rehabilitation Nursing, 16: 266–270. doi: 10.1002/j.2048-7940.1991.tb01231.x
- Issue published online: 3 SEP 2012
- Article first published online: 3 SEP 2012
Patients who have had surgical removal of part or all of the tongue are left with varying degrees of swallowing and speech deficiencies. The extent of resection, mobility of the residual tongue segment, and adequacy of the remaining structures determine the amount and type of deficiency. While communicative impairment and dysphagia commonly are seen in a rehabilitation setting, the problems of the glossectomy patient often are unique. This article reviews the anatomy and physiology of the oral and pharyngeal musculature, discusses the speech and swallowing of the glossectomy patient, and presents nursing considerations for successful rehabilitation.