Factors Influencing on the Recovery of Post-operative Swallowing Ability in Mandible, Tongue and Oral Floor Tumor Patients

• SHIROSHITA Naoko

  Department of Prosthodontics and Oral rehabilitation, Osaka University Graduate School of Dentistry

• HORI Kazuhiro

  Department of Prosthodontics and Oral rehabilitation, Osaka University Graduate School of Dentistry Niigata University Graduate School of Medical and Dental Sciences Division of Dysphagia Rehabilitation Department of Oral Biological Science

• SAKAGAMI Joe

  Department of Prosthodontics and Oral rehabilitation, Osaka University Graduate School of Dentistry

• YAMAMOTO Masaaki

  Department of Prosthodontics and Oral rehabilitation, Osaka University Graduate School of Dentistry

• TAMINE Kenichi

  Department of Prosthodontics and Oral rehabilitation, Osaka University Graduate School of Dentistry

• KONDOH Jyugo

  Department of Prosthodontics and Oral rehabilitation, Osaka University Graduate School of Dentistry

• HAMANAKA Sato

  Department of Prosthodontics and Oral rehabilitation, Osaka University Graduate School of Dentistry

• ONO Takahiro

  Department of Prosthodontics and Oral rehabilitation, Osaka University Graduate School of Dentistry

• MAEDA Yoshinobu

  Department of Prosthodontics and Oral rehabilitation, Osaka University Graduate School of Dentistry

• KOGOH Mikihiko

  Department of Oral and Maxillofacial Surgery 1, Osaka University Graduate School of Dentistry

• IWAI Souichi

  Department of Oral and Maxillofacial Surgery 2, Osaka University Graduate School of Dentistry

• NAKAZAWA Mitsuhiro

  Department of Oral and Maxillofacial Surgery 2, Osaka University Graduate School of Dentistry

• YURA Yoshiaki

  Department of Oral and Maxillofacial Surgery 2, Osaka University Graduate School of Dentistry

• NOKUBI Takashi

  Center for Advanced Science and Innovation, Osaka University

Bibliographic Information

Other Title

• 下顎・舌・口底腫瘍術後患者の嚥下能力の回復に影響を及ぼす因子

Abstract

In patients with tumor in mandibular region, the postoperative recovery process of swallowing ability might be affected by surgical resection, reconstruction, prosthetic treatment, and those effects might differ depending on postoperative days. We conducted a longitudinal analysis of possible factors that influence the swallowing ability of each postoperative stage. Swallowing ability was measured by time required to swallow 30 ml of water in 44 patients with tumor in mandibular regions before and 1, 3, 6, and 12 months after surgery. Multiple regression analysis was performed with difference between preoperative and postoperative swallowing ability of each follow-up time to identify possible factors influencing the postoperative recovery level of swallowing ability. Preoperative water-swallowing time predicted functional recovery in each follow-up time, suggesting the need to measure it preoperatively. Concerning the tumor treatment factors, neck dissection was demonstrated to decrease the recovery level of swallowing ability, but the number of occlusal support including that reconstructed by prosthetic procedures and chemotherapy were shown to increase the recovery level of swallowing ability after surgery, suggesting the efficacy of early prosthetic intervention. The study results would help in obtaining informed consent and provide efficient and farsighted rehabilitation in patients with tumor in mandibular region.

Journal

• MAXILLOFACIAL PROSTHETICS

  MAXILLOFACIAL PROSTHETICS 32 (2), 79-92, 2009

  Japanese Academy of Maxillofacial Prosthetics

Keywords

• dysphagia
• rehabilitation
• tumor in mandible region

Details

• CRID: 1390018373958657664
• NII Article ID: 10026389973
• NII Book ID: AN00038485
• DOI: 10.34333/jamp.32.2_79
• ISSN: 24350389
• ISSN: 03894045
• Web Site: https://search.jamas.or.jp/link/ui/2010152683
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed