de Carvalho Viviane, Sennes Luiz Ubirajara
Rehabilitation Department, Cancer Institute Arnaldo Vieira de Carvalho, São Paulo, SP, Brazil.
Department of Otorhinolaryngology, University of São Paulo, São Paulo, SP, Brazil.
Int J Dent. 2016;2016:6548014. doi: 10.1155/2016/6548014. Epub 2016 Nov 15.
Maintaining oral function in patients undergoing glossectomy boosts interventions such as prosthetic rehabilitation. However, current literature still fails in the presentation of results of prosthetic rehabilitation in relation to speech or swallowing. The objective of this research is to evaluate the effectiveness of prosthetic rehabilitation on voice, speech, and swallowing in patients undergoing glossectomy by performing a systematic literature review and meta-analysis of individual cases. Studies were identified by relevant electronic database and included all dates available. The criteria used were sample with any ; resection due to malignant tumors, restricted to tongue and/or floor of mouth; type of prosthetic rehabilitation; and description of the oral functions outcomes with prosthesis. For the meta-analysis of individual data, associations between the variables of interest and the type of prosthesis were evaluated. Thirty-three of 471 articles met the selection criteria. Results on speech and/or voice and swallowing were reported in 27 and 28 articles, respectively. There were improvement of speech intelligibility and swallowing in 96 patients and in 73 patients, respectively, with prosthesis. Based on the available evidences, this article showed that prosthetic rehabilitation was able to improve oral functions and can be a strategy used with surgical reconstruction in selected cases.
在接受舌切除术的患者中维持口腔功能有助于诸如修复性康复等干预措施。然而，目前的文献仍未呈现出与言语或吞咽相关的修复性康复结果。本研究的目的是通过对个体病例进行系统的文献综述和荟萃分析，评估修复性康复对接受舌切除术患者的嗓音、言语和吞咽功能的有效性。通过相关电子数据库检索研究，纳入所有可用日期的研究。使用的标准包括：任何样本；因恶性肿瘤切除，限于舌和/或口底；修复性康复类型；以及使用假体时口腔功能结果的描述。对于个体数据的荟萃分析，评估了感兴趣的变量与假体类型之间的关联。471篇文章中有33篇符合入选标准。分别有27篇和28篇文章报告了言语和/或嗓音以及吞咽方面的结果。使用假体后，分别有96例患者的言语清晰度和73例患者的吞咽功能得到改善。基于现有证据，本文表明修复性康复能够改善口腔功能，并且在某些选定病例中可作为与手术重建联合使用的一种策略。
