Tomita Y, Ozaki T
Dept. of Dentistry & Oral Surgery, Kochi Medical School.
Gan No Rinsho. 1990 Feb;36(2):163-8.
Speech intelligibility has been investigated in 40 patients who had received a glossotomy because of tongue and/or mouth floor carcinomas after preoperative induction therapy. The results are summarized below. 1. Speech was clearer and better understood in intelligibility tests than by tests of single sounds. 2. Speech intelligibility was impaired in 12 patients. The impairment degree was mild (slight difficulty in understanding the spoken content) in 9 cases, where as the speech in the remaining patients was moderately or severely impaired. 3. Hardly any speech impairment resulted when the tongue resection was limited to the ipsilateral 1/3 of the tongue, where as the impairment was greater in cases who received a glossotomy over that limit. 4. Tongue mobility was related to speech intelligibility, and conservation of the tongue tip appeared important. 5. Aggressive induction therapy made limited surgical extirpation possible, and many patients speech functions were well preserved by conservative surgery. Together with good local control, aggressive induction therapy seemed to be beneficial for tongue and mouth-floor carcinomas.
对40例因舌癌和/或口底癌在术前诱导治疗后接受舌切除术的患者的言语清晰度进行了研究。结果总结如下。1. 在清晰度测试中，言语比单音测试更清晰且更容易理解。2. 12例患者的言语清晰度受损。9例受损程度较轻（理解口语内容有轻微困难），而其余患者的言语则有中度或重度受损。3. 当舌切除术仅限于同侧舌的1/3时，几乎没有言语障碍，而超过该限度进行舌切除术的患者言语障碍更大。4. 舌的活动度与言语清晰度有关，保留舌尖似乎很重要。5. 积极的诱导治疗使有限的手术切除成为可能，许多患者的言语功能通过保守手术得到了很好的保留。积极的诱导治疗与良好的局部控制相结合，似乎对舌癌和口底癌有益。
