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Michiwaki, Y. ; Schmelzeisen, R. ; Hacki, Tamas ; Michi, K.

Articulatory function in glossectomized patients with immediate reconstruction using a free jejunum flap

Michiwaki, Y., Schmelzeisen, R., Hacki, Tamas und Michi, K. (1992) Articulatory function in glossectomized patients with immediate reconstruction using a free jejunum flap. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery 20 (5), S. 203-10.

Veröffentlichungsdatum dieses Volltextes: 22 Dez 2010 08:27
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.18868


Zusammenfassung

Postoperative articulation in 18 glossectomized patients was investigated. The subjects were: 5 cases of tongue tumour, 7 cases of tumour of the anterior part of the floor of the mouth and 6 cases of tumour of the lateral part. A new modification of the Freiburger test for speech audiometry was used as test material. Then the articulatory function was assessed according to an overall score based ...

Postoperative articulation in 18 glossectomized patients was investigated. The subjects were: 5 cases of tongue tumour, 7 cases of tumour of the anterior part of the floor of the mouth and 6 cases of tumour of the lateral part. A new modification of the Freiburger test for speech audiometry was used as test material. Then the articulatory function was assessed according to an overall score based on 180 monosyllables, the manner of production of 171 initial consonants and the place of production of 85 glossal sounds. The cases of tumour of the tongue and the lateral part of the floor of the mouth had excellent scores in all classes of sounds, which were compatible with the normative data. The subjects of tumour of the anterior part of the floor of the mouth had low overall scores, low scores for plosive and affricative sounds, and very low scores for sounds produced with the rear of the tongue. The relation between the site or amount of resection and subsequent articulation was significantly poor in all categories of sounds for the cases of anterior tumour, particularly in the movement of the posterior portion of the tongue even though it was not involved in the operation. In all groups there was a weak negative relation between the amount of resection and postoperative articulation. In reviewing the literature, reconstruction with a free jejunum flap was considered to lead to better articulation than reconstruction by other techniques. The need to assess postoperative function objectively was stressed, to compare the postoperative functions and to determine the indications for the reconstructive technique.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftJournal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery
Band:20
Nummer des Zeitschriftenheftes oder des Kapitels:5
Seitenbereich:S. 203-10
Datum1992
InstitutionenMedizin > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Identifikationsnummer
WertTyp
1401091PubMed-ID
10.1016/S1010-5182(05)80316-6DOI
Klassifikation
NotationArt
AdultMESH
AgedMESH
Articulation Disorders/surgeryMESH
Carcinoma, Squamous Cell/surgeryMESH
FemaleMESH
Glossectomy/adverse effectsMESH
HumansMESH
JejunumMESH
MaleMESH
Middle AgedMESH
Mouth Neoplasms/surgeryMESH
Speech Articulation TestsMESH
Surgical FlapsMESH
Time FactorsMESH
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-188689
Dokumenten-ID18868

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