上牙龈癌切除术后行重建手术与行义齿治疗患者的口腔功能评估与比较。
Evaluation and comparison of oral function after resection of cancer of the upper gingiva in patients who underwent reconstruction surgery versus those treated with a prosthesis.
机构信息
Division of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Reconstructive Surgery, Iwate Medical University, Morioka, Japan.
Head and Neck Cancer Center, Iwate Medical University Hospital, Yahaba, Japan.
出版信息
BMC Oral Health. 2021 Jul 15;21(1):347. doi: 10.1186/s12903-021-01709-7.
BACKGROUND
We retrospectively analyzed the articulation, mastication, and swallowing function of patients who underwent reconstruction or used a prosthesis after resection of the upper gingiva.
METHODS
This study included patients who underwent resection of cancer of the upper gingiva from January 2014 to December 2018. Articulatory function was evaluated with Hirose's conversational function evaluation criteria. Mastication function was evaluated with the Yamamoto's occlusion table. Swallowing function was assessed with the MTF (Method of intake, Time, Food) score.
RESULTS
The mean articulatory function score was 8 points in the Reconstruction Surgery Group (RSG) and 8.8 points in the Prosthesis Group (PG). The mean mastication function score was 2.8 points in the RSG and 3.3 points in the PG. The mean swallowing function score was M3T4F4 in the RSG and M4T4F4.3 in the PG.
CONCLUSIONS
The prosthesis depends on the remaining occlusal support area. Our study suggest that prosthesis is better indication when there is more than one occlusal support area.
背景
我们回顾性分析了接受上牙龈切除术后行重建或使用义齿的患者的发音、咀嚼和吞咽功能。
方法
本研究纳入了 2014 年 1 月至 2018 年 12 月期间因上牙龈癌接受切除手术的患者。使用 Hirose 的会话功能评估标准评估发音功能。使用 Yamamoto 的咬合表评估咀嚼功能。使用 MTF（摄入方法、时间、食物）评分评估吞咽功能。
结果
重建手术组（RSG）的平均发音功能评分为 8 分，义齿组（PG）的平均发音功能评分为 8.8 分。RSG 的平均咀嚼功能评分为 2.8 分，PG 的平均咀嚼功能评分为 3.3 分。RSG 的平均吞咽功能评分为 M3T4F4，PG 的平均吞咽功能评分为 M4T4F4.3。
结论
义齿依赖于剩余的咬合支持区域。我们的研究表明，当有一个以上的咬合支持区域时，义齿是更好的选择。
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