Marunick Mark, Tselios Nicholas
Department of Otolaryngology, Head and Neck Surgery, Wayne State University, Detriot, Mich 48201, USA.
J Prosthet Dent. 2004 Jan;91(1):67-74. doi: 10.1016/j.prosdent.2003.10.012.
This article provides a review of the literature to assist the clinician in determining the efficacy of palatal augmentation prosthesis regarding speech and swallowing for the patient undergoing glossectomy. A MEDLINE search was conducted. Peer-reviewed articles published from 1966 to July 2002 that addressed the question of the efficacy of this prosthesis to improve speech and swallowing after partial or total glossectomy were included. Studies reviewed had to incorporate an objective evaluation of one or both functions. Nine of 130 studies met the selection criteria (4 retrospective, 1 case control, and 4 case reports). A total of 50 subjects were studied, 42 for swallowing and 37 for speech. In 36/42 subjects, treatment was advantageous for swallowing and in 32/37 subjects, it was advantageous for speech. On the basis of the limited evidence available, the functional efficacy of the palatal augmentation prosthesis is supported.
本文对相关文献进行综述，以帮助临床医生确定腭部增高修复体对接受舌切除术患者的言语和吞咽功能的疗效。我们进行了MEDLINE检索。纳入了1966年至2002年7月发表的、探讨该修复体在部分或全舌切除术后改善言语和吞咽功能疗效问题的同行评审文章。所综述的研究必须纳入对一种或两种功能的客观评估。130项研究中有9项符合选择标准（4项回顾性研究、1项病例对照研究和4项病例报告）。共研究了50名受试者，其中42名研究吞咽功能，37名研究言语功能。在42名受试者中有36名，治疗对吞咽功能有益；在37名受试者中有32名，治疗对言语功能有益。基于现有有限证据，腭部增高修复体的功能疗效得到了支持。
