Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Head Neck. 2010 Aug;32(8):1012-8. doi: 10.1002/hed.21283.
Our objective was to evaluate the value of the blowing test to measure the speech and swallowing function after resection of oral or oropharyngeal cancer.
Speech and swallowing functions of the patients after surgical resection of oral or oropharyngeal cancer were assessed by a speech intelligibility test, blowing time, questionnaires, and oropharyngeal pressures. Blowing time (pressure) ratio was determined by dividing blowing time (pressure) with open nose by blowing time (pressure) with closed nose.
Blowing time ratio had significant correlation with blowing pressure ratio (p = .014), score of speech intelligibility test (p = .0014), questionnaire for aspiration (p = .029), nasopharyngeal backflow (CC = 0.676, p = .032), amount of food to swallow (p = .037), and oropharyngeal pressure during swallowing (p = .024).
The present results demonstrated the value of blowing time ratio as a simple objective tool for speech and swallowing ability related to velopharyngeal function after resection of oral and oropharyngeal cancers.
本研究旨在评估吹气试验在评估口腔或口咽癌切除术后患者的言语和吞咽功能方面的价值。
通过言语清晰度测试、吹气时间、问卷调查和口咽压力评估口腔或口咽癌切除术后患者的言语和吞咽功能。通过将鼻闭吹气时间（压力）除以鼻开吹气时间（压力）来确定吹气时间（压力）比值。
吹气时间比值与吹气压力比值显著相关（p=0.014），与言语清晰度测试评分（p=0.0014）、吸入问卷评分（p=0.029）、鼻咽反流（CC=0.676，p=0.032）、吞咽食物量（p=0.037）和吞咽时口咽压力（p=0.024）均显著相关。
本研究结果表明，吹气时间比值可作为评估口腔和口咽癌切除术后与软腭功能相关的言语和吞咽能力的简单客观工具。
