Postoperative speech function in patients of cancer of floor of mouth with immediate surgical reconstruction. An oncology group study.
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- Michiwaki Yukihiro
- Oral & Maxillofacial Surgery, NTT Kantoh Teishin Hospital
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- Saitoh Ken-ichi
- Oral & Maxillofacial Surgery, NTT Kantoh Teishin Hospital
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- Ohno Kohsuke
- First Department of Oral & Maxillofacial Surgery, Showa University
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- Mori Kimie
- First Department of Oral & Maxillofacial Surgery, Showa University
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- Yamazaki Yoshizumi
- First Department of Oral & Maxillofacial Surgery, Showa University
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- Shimizu Toshiyuki
- First Department of Oral & Maxillofacial Surgery, Showa University
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- Shima Harunobu
- First Department of Oral & Maxillofacial Surgery, Showa University
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- Matsubara Futoaki
- First Department of Oral & Maxillofacial Surgery, Showa University
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- Yokoyama Mika
- First Department of Oral & Maxillofacial Surgery, Showa University
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- Michi Ken-ichi
- First Department of Oral & Maxillofacial Surgery, Showa University
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- Amagasa Teruo
- First Department of Oral & Maxillofacial Surgery, Tokyo Medical and Dental University
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- Yoshimasu Hidemi
- First Department of Oral & Maxillofacial Surgery, Tokyo Medical and Dental University
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- Iwaki Hiroshi
- First Department of Oral & Maxillofacial Surgery, Tokyo Medical and Dental University
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- Fujibayashi Takashi
- Oral & Maxillofacial Surgery, Dokkyo Medical University
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- Kinoshita Yukihiko
- First Department of Oral & Maxillofacial Surgery, Kanagawa Dental College
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- Honma Yoshiro
- First Department of Oral & Maxillofacial Surgery, Kanagawa Dental College
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- Seto Kan-ichi
- First Department of Oral & Maxillofacial Surgery, Tsurumi University
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- Matsuura Masaro
- First Department of Oral & Maxillofacial Surgery, Tsurumi University
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- Ishibashi Katsunori
- Second Department of Oral & Maxillofacial Surgery, Tsurumi University
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- Asada Kohichi
- Second Department of Oral & Maxillofacial Surgery, Tsurumi University
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- Satoh Toru
- Second Department of Oral & Maxillofacial Surgery, Tsurumi University
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- Fujita Kiyohide
- Oral & Maxillofacial Surgery, Yokohama City University
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- Umino Satoshi
- Oral & Maxillofacial Surgery, Yokohama City University
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- Okabe Sadao
- Oral Surgery, Saitama Cancer Center
Bibliographic Information
- Other Title
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- 口底癌再建症例の術後の構音機能に関する多施設共同研究
- —an oncology group study—
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Abstract
The postoperative speech function was assessed with a speech intelligibility test of 100 Japanese monosyllables. The subject was 19 patients with surgical reconstruction after complete ablation of cancer of the floor of the mouth. Among them, the radial forearm flap (FAF) was used in 12 patients, the pectoralis major myocutaneous flap (PMMCF) and the rectus abdominis flap were performed in 3 cases each, and a combination of FAF and PMMCF was in one patient. Concerning removed tongue area, fourteen patients had partial resection of the tongue, one had removal of a half of the oral tongue, one had hemiglossectomy, and 3 had subtotal resection of the tongue. The speech function was analyzed to find out influences of operation factors, such as, size of the tumor, area of tongue resected, operation site, and methods of reconstruction. As a result, there was less relation between sizes of the primary tumor (T-classification), however, the wider the area of resected tongue, the worse the speech function. Patients of cancer of the lateral part of the mouth floor had significantly better speech scores than patients whose cancers were in the anterior part of the mouth. Then, the improvement of operative techniques as well as the prosthetic treatment were proposed to obtain better speech function.
Journal
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- Journal of Japanese Society of Oral Oncology
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Journal of Japanese Society of Oral Oncology 10 (2), 63-70, 1998
Japanese Society of Oral Oncology
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Details 詳細情報について
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- CRID
- 1390001204345175296
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- NII Article ID
- 130004040001
- 10016308050
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- NII Book ID
- AN10170059
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- ISSN
- 18844995
- 09155988
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed