Michi K, Imai S, Yamashita Y, Suzuki N
First Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University, Tokyo, Japan.
J Craniomaxillofac Surg. 1989 May;17(4):162-6. doi: 10.1016/s1010-5182(89)80015-0.
To prove the hypothesis that speech after glossectomy would be improved more by increasing the mobility of the remaining tongue rather than by increasing its volume, the speech intelligibility of 4 glossectomy patients was investigated before and after a secondary operation in which a split skin graft was used to mobilize the residual tongue. In each case, the postoperative speech intelligibility scores were higher than preoperative ones (case 1:83.6 to 97.2%, case 2: 76.6 to 82.5%, case 3: 51.5 to 58.5%, case 4: 30.2 to 49.3%). Sounds produced with the rear portion of the tongue were improved in 3 cases, and plosive and affricative sounds were remarkably improved in all cases. These results were considered to be due to the increased mobility, especially the mid and rear portions of the tongue.
舌切除术后通过增加剩余舌头的活动度而非增大其体积能更好地改善言语，对4例舌切除患者在二次手术前后的言语清晰度进行了研究，该二次手术采用中厚皮片移植来活动残余舌头。在每种情况下，术后言语清晰度评分均高于术前（病例1：从83.6%提高到97.2%，病例2：从76.6%提高到82.5%，病例3：从51.5%提高到58.5%，病例4：从30.2%提高到49.3%）。3例患者用舌后部发出的声音得到改善，所有病例中的爆破音和塞擦音均有显著改善。这些结果被认为是由于活动度增加，尤其是舌头的中后部。
