Marrafon Caroline Somera, Matos Leandro Luongo, Simões-Zenari Marcia, Cernea Claudio Roberto, Nemr Katia
Programa de Pós-graduação em Ciências da Reabilitação, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
Instituto do Câncer do Estado de São Paulo, São Paulo, SP, Brasil.
Codas. 2018;30(2):e20160221. doi: 10.1590/2317-1782/20182016221. Epub 2018 Apr 19.
Purpose Assess the effectiveness of an orofacial myofunctional therapeutic program in patients with oral or oropharyngeal cancer submitted to adjuvant radiotherapy through pre- and post-program comparison of maximum mandibular opening. Methods Prospective study involving five adult patients and five elderly patients postoperatively to oral cavity/oropharynx surgery who were awaiting the beginning of radiotherapy or had undergone fewer than five treatment sessions. The study participants had their maximum jaw opening measured using a sliding caliper at the beginning and end of the program. Two mobility exercises and three mandibular traction exercises were selected and weekly monitored presentially for 10 weeks. Descriptive data and pre- and post-therapy comparative measures were statistically analyzed using the Wilcoxon test. Results Ten patients (two women and eight men) with mean age of 58.4 years, median of 57.0 years, completed the therapeutic program. They presented mean maximum mandibular opening of 31.6 ± 11.7 and 36.4 ± 8.0 mm pre- and post-therapy, respectively (p =0.021). Conclusion The proposed orofacial myofunctional therapeutic program increased the maximum jaw opening of patients referred to adjuvant radiotherapy for oral cavity or oropharynx cancer treatment.
目的 通过比较口面部肌功能治疗方案实施前后的最大下颌开口度，评估该方案对接受辅助放疗的口腔或口咽癌患者的有效性。方法 对5例成年患者和5例老年患者进行前瞻性研究，这些患者均为口腔/口咽手术后等待放疗开始或接受治疗次数少于5次的患者。研究参与者在方案开始和结束时使用游标卡尺测量最大张口度。选择了两项活动度练习和三项下颌牵引练习，并在10周内每周进行现场监测。使用Wilcoxon检验对描述性数据以及治疗前后的比较指标进行统计分析。结果 10例患者（2名女性和8名男性）完成了治疗方案，平均年龄58.4岁，中位数57.0岁。治疗前和治疗后他们的平均最大下颌开口度分别为31.6±11.7和36.4±8.0毫米（p =0.021）。结论 所提出的口面部肌功能治疗方案增加了接受辅助放疗的口腔或口咽癌治疗患者的最大张口度。
