期刊论文详细信息
Revista da Sociedade Brasileira de Fonoaudiologia
Identification of chewing and swallowing changes in individuals submitted to partial glossectomy
Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, Brasil1  Prefeituras Municipais de Bonfim e Rio Manso, Brasil1  Oliveira, Laura Cristina Sales de1  Salles, José Maria Porcaro1  Centro Médico Integrado Santo Ivo, Belo Horizonte, Brasil1  Vieira, Camila Alves1  Pontifícia Universidade Católica de Minas Gerais, Belo Horizonte, Brasil1  Universidade Federal de Minas Gerais, Belo Horizonte, Brasil1  Mota, Marta Helena Marques1  Salles, Patrícia Vieira1  Britto, Ana Teresa Brandão de Oliveira e1  Di Ninno, Camila Queiroz de Moraes Silveira1 
关键词: Tongue neoplasms/complications;    Mouth neoplasms/complications;     ;    Glossectomy;    Stomatognathic system;    Deglutition disorders/etiology;    Mastication;    Speech therapy ;   
DOI  :  10.1590/S1516-80342008000400007
来源: Sociedade Brasileira de Fonoaudiologia
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【 摘 要 】

PURPOSE: To identify the commonest changes in chewing and swallowing as a result from curative tongue cancer surgery, with less than 50% of tongue resection and preservation of both mouth floor and tongue base.METHOSD: Nine patients – six men and three women – were assessed during the pre-surgical period, using a specific protocol. During the mediate postsurgical period, five patients – four men and one woman – were reassessed using the same protocol. The Kruskall Wallis non-parametric test (Test H) was used to analyze the significance of the results.RESULTS: The comparison between pre and postoperative results showed significant (p<0,05) changes from oral to enteral feeding. There was also a significant change in chewing efficiency, which became ineffective in all patients. It was significantly observed the patients' difficulty in handling the food bolus during the chewing process, causing difficulty in forming a cohesive bolus. This demonstrates that surgery influences this function, that is, the partial loss of the tongue undermines the chewing process. The swallowing process was also impaired by the surgery: the protocol demonstrated significant presence of oral stasis after swallowing, and compensatory head movements for swallowing solids.CONCLUSION: The patients submitted to partial glossectomy presented significant alterations in chewing and swallowing as a result from surgical cancer treatment.

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