The efficacy of a lingual augmentation prosthesis for swallowing after a glossectomy: A clinical report

Okuno, Kentaro; Nohara, Kanji; Tanaka, Nobushige; Sasao, Yasuhiro; Sakai, Takayoshi

doi:10.1016/j.prosdent.2013.08.011

Cited by 12 publications

(13 citation statements)

References 7 publications

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“…Twenty-five studies were case reports: 23 studies on 1 patient [5, 15, 16, 19–38] and 2 articles with 2 patients [39] and 3 patients [40]. Seven studies were case series (between 4 and 36 patients) [4, 41–46], and 1 study was a case-control study with 5 patients in each group [18].…”

Section: Resultsmentioning

confidence: 99%

“…The main types of evaluation were perceptual [4, 5, 16, 18, 20–22, 24, 25, 28–31, 36, 38, 41, 43–46], acoustic [4, 18, 21, 31, 35], and subjective (nonstandardized assessment of speech) [20, 23, 26, 27, 32, 37, 39]. Only 5 studies used a combination of perceptual and acoustic analyses [4, 5, 18, 22, 31].…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-eight studies evaluated swallowing outcomes using objective [20, 24, 25, 27, 31, 38, 40, 44, 46], clinical [15, 21, 22, 29, 30, 32, 33, 36, 37, 41, 42, 45], or subjective assessments [5, 16, 19, 20, 23, 33, 34, 39]. Seventy-three patients demonstrated improvement in swallowing with a prosthesis, 1 patient demonstrated worse outcomes [16], 5 patients demonstrated no changes [46], and 48 patients were not evaluated.…”

Section: Resultsmentioning

confidence: 99%

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Speech and Swallowing Data in Individual Patients Who Underwent Glossectomy after Prosthetic Rehabilitation

Carvalho¹,

Sennes

2016

International Journal of Dentistry

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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 n; 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.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Speech and Swallowing Data in Individual Patients Who Underwent Glossectomy after Prosthetic Rehabilitation

Carvalho¹,

Sennes

2016

International Journal of Dentistry

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“…Further investigation based not on the stage of the tumor but on the site of excision, occurrence of neck dissection, and the extent of dissection is required. Regarding retention in the oral cavity, the entry of the tablet into the dead space was the cause; therefore, avoiding the creation of dead space with the use of a flap and of dentures may be important [25].…”

Section: Experiments 2: Assessment Of Postoperative Swallowing Dynamicsmentioning

confidence: 99%

Dynamics of Swallowing Tablets during the Recovery Period following Surgery for Tongue Cancer

Yoshizumi¹,

Mikushi²

2016

Otolaryngol

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Objective: Medicinal tablets are sometimes difficult to swallow, even for healthy individuals. Accordingly, it is likely more difficult for patients to swallow tablets after oral surgery for tongue tumors. In this study, we aimed to investigate the dynamics of swallowing tablets in the recovery period following surgery for tongue tumors. Methods:Two experiments were conducted (Experiment 1 and Experiment 2). In Experiment 1, 20 tongue cancer patients swallowed simulated tablets and underwent videofluoroscopic (VF) examination of swallowing before and after surgery. The ability or inability to pass the tablet to the esophagus and the number of swallowing attempts required to ingest the tablet were evaluated. In Experiment 2, 48 similar subjects swallowed thickened barium and simulated tablets and underwent VF examination of swallowing after surgery. The ability or inability to pass the tablet to the esophagus, the number of swallows required to ingest the tablet, the tablet position after the initial and the final swallowing reflexes, and the oral transit time and pharyngeal transit time for swallowing the thickened barium solution and simulated tablets were evaluated.Results: After subtotal glossectomy, more subjects were unable to pass the tablet to the esophagus after surgery rather than before surgery. However, after surgery, patients needed more numbers of swallowing reflex attempts in order to successfully swallow tablets. Also, the tablets remained not only in the mouth, but also in the epiglottic vallecula and pyriform sinus. In the patients who could pass the tablet, the oral transit time of the thickened barium solution was shorter than in the patients who could not. Conclusion:In cases of subtotal glossectomy, tablet intake should be avoided, particularly in the recovery phase, and VF or endoscopic evaluation of swallowing should be performed when tablets are prescribed. After tongue cancer surgery, patients should be recommended to make multiple swallowing attempts when swallowing tablets.

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“…Dans le cas de glossectomie partielle, La réhabilitation privilégie une approche prothétique maxillaire [6]. Pour faciliter le contact entre le palais et le moignon lingual résiduel, un abaissement dit aussi une augmentation de la voûte palatine prothétique est réalisé [6,7,8,9,10,11,12]. En présence d'une large résection linguale avec limitation importante de sa mobilité, une augmentation linguale est souvent envisagée [12].…”

Section: Introductionunclassified

La réhabilitation prothétique après glossectomie partielle

Rokhssi

Azhari

Benfdil

et al. 2017

Actual. Odonto-Stomatol.

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The efficacy of a lingual augmentation prosthesis for swallowing after a glossectomy: A clinical report

Cited by 12 publications

References 7 publications

Speech and Swallowing Data in Individual Patients Who Underwent Glossectomy after Prosthetic Rehabilitation

Speech and Swallowing Data in Individual Patients Who Underwent Glossectomy after Prosthetic Rehabilitation

Dynamics of Swallowing Tablets during the Recovery Period following Surgery for Tongue Cancer

La réhabilitation prothétique après glossectomie partielle

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