Marunick M T, Mathog R H
Wayne State University, School of Medicine, Detroit, Mich.
J Prosthet Dent. 1990 May;63(5):566-73. doi: 10.1016/0022-3913(90)90078-q.
Patients with head and neck cancer will experience alteration of oral anatomy and physiology caused by the disease and the treatment required. Despite the implied effects on the dynamics of mastication, objective studies have not been conducted to evaluate masticatory function of these patients. Masticatory performance and swallowing threshold performance were evaluated with Frito corn chips as the test substance. Edentulous patients treated for cancer demonstrated deficiencies in both tests. Masticatory performance and swallowing threshold performance improved with prosthodontic rehabilitation but this improvement was less than with comparable controls. Techniques to evaluate masticatory factors such as dentition, dentures, biting force, temporomandibular joint status, range of motion, and saliva are suggested.
头颈癌患者会因疾病及所需治疗而出现口腔解剖结构和生理功能的改变。尽管对咀嚼动力学有潜在影响，但尚未开展客观研究来评估这些患者的咀嚼功能。以弗里托玉米片作为测试物质，对咀嚼性能和吞咽阈值性能进行了评估。接受癌症治疗的无牙患者在两项测试中均表现出不足。义齿修复后，咀嚼性能和吞咽阈值性能有所改善，但这种改善程度低于可比的对照组。文中提出了评估咀嚼相关因素的技术，如牙列、假牙、咬合力、颞下颌关节状况、活动范围和唾液等。
