舌接触補助床と人工舌装置の併用が口腔機能の改善に有効であった舌・口底癌術後の2症例

DOI
  • 田下 雄一
    昭和大学歯学部スペシャルニーズ口腔医学講座口腔リハビリテーション医学部門
  • 伊原 良明
    昭和大学歯学部スペシャルニーズ口腔医学講座口腔リハビリテーション医学部門
  • 小池 丈司
    昭和大学歯学部スペシャルニーズ口腔医学講座口腔リハビリテーション医学部門
  • 伊佐津 克彦
    昭和大学歯学部歯科保存学講座総合診療歯科学部門
  • 武井 良子
    昭和大学歯学部スペシャルニーズ口腔医学講座口腔リハビリテーション医学部門
  • 高橋 浩二
    昭和大学歯学部スペシャルニーズ口腔医学講座口腔リハビリテーション医学部門

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  • The effects of an artificial tongue combined with a PAP on improvement of oral function in two glossectomized patients

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It is common that patients after surgery for oral cancer have the loss of the tissue in the oral cavity and develop swallowing and articulation disorders.<br>There have been many reports of treatment using a palatal augmentation prosthesis (PAP); however, there are only a few reports on the use of an artificial tongue in addition to a PAP. We reported our experience of two cases who used an artificial tongue in addition to a PAP.<br>The swallowing function was tested using 10 ml of yogurt-like material. The swallowing time and intraoral residual quantity after swallowing were measured under four conditions: with/without PAP and artificial tongue. The speech function was tested with the Japanese syllable intelligibility test.<br>Case 1: A 72-year-old man diagnosed as tongue cancer, treated with partial glossectomy and resection of the floor of the mouth with radial forearm flap reconstruction.<br>Case 2: A 76-year-old man diagnosed as floor of the mouth cancer, treated with partial glossectomy and resection of the floor of the mouth with radial forearm flap reconstruction.<br>In both cases, when wearing the PAP and artificial tongue, the swallowing time was shortened, the amount of oral residue decreased, and the total correct answer rate of the Japanese syllable intelligibility test was improved.<br>It is suggested that wearing the artificial tongue is effective for cases with obvious recess of the floor of the mouth.

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