Robbins K T, Bowman J B, Jacob R F
Department of Head and Neck Surgery, University of Texas, M. D. Anderson Hospital and Tumor Institute, Houston.
Arch Otolaryngol Head Neck Surg. 1987 Nov;113(11):1214-8. doi: 10.1001/archotol.1987.01860110080012.
For patients who may have significantly impaired deglutitory and articulatory functions after glossectomy, an important aspect of the rehabilitative management in our institution is the use of palatal augmentation prostheses. The aim is to reduce the free space between the roof and floor of the oral cavity to permit stronger lingual propulsion during oral deglutition and better linguopalatal contact during articulation. We evaluated ten patients who received this device after glossectomy during the past two years. Modified barium swallows and voice recordings were performed when possible with and without the use of the palatal augmentation prosthesis. Articulatory and deglutitory functions were evaluated on a scaled score ranging from 0 to 10 points. The scores of the patients' average immediate improvements were 4.5 points (range, 2 to 7) for articulation and 3.5 points (range, 2 to 7) for deglutition; the scores of average long-term improvements were 3.4 points (range, 2 to 7) and 2.2 points (range, 6 to 8), respectively. Patients using the palatal augmentation prosthesis experienced significant improvement in both functions. We believe that this device contributes greatly to rehabilitative therapy for patients who have undergone extirpative surgery for tumors of the oral cavity.
对于舌切除术后吞咽和发音功能可能严重受损的患者，在我们机构的康复管理中一个重要方面是使用腭部增高假体。目的是减少口腔顶部和底部之间的自由空间，以便在口腔吞咽时允许更强的舌推进力，并在发音时实现更好的舌腭接触。我们评估了过去两年中10例舌切除术后接受该装置的患者。在使用和不使用腭部增高假体的情况下，尽可能进行改良钡餐吞咽和语音记录。发音和吞咽功能采用0至10分的评分量表进行评估。患者平均即刻改善的评分，发音为4.5分（范围2至7分），吞咽为3.5分（范围2至7分）；平均长期改善的评分分别为3.4分（范围2至7分）和2.2分（范围6至8分）。使用腭部增高假体的患者在这两项功能上均有显著改善。我们认为该装置对接受口腔肿瘤切除手术的患者的康复治疗有很大帮助。
