A Case Report of Rehabilitation for a Hemi-glossectomy and Treatment Outcome

DOI 26 References
  • MATSUYAMA Miwa
    Section of Removable Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University
  • OOBU Kazunari
    Section of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University
  • KAWANO Shintaro
    Section of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University
  • MATSUSHITA Yasuyuki
    Section of Removable Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University
  • NAKAMURA Seiji
    Section of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University
  • KOYANO Kiyoshi
    Section of Removable Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University

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Other Title
  • 舌可動部亜全摘症例に対するリハビリテーションとその治療効果
  • —下顎歯槽堤形成術と最大舌圧の経時的変化—

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Abstract

Most glossectomy patients suffer from speech disability, chewing disability, bolus forming dysfunction, swallowing dysfunction and so on because of limited tongue movement after tongue resection. <br>This case report describes the comprehensive management of a glossectomy patient including mandibular alveoplasty and prosthetic treatment with removable dentures. To evaluate the treatment outcome, objective assessments by videofluorography （modified barium swallowing） and tongue movement by tongue pressure; speech assessments by a speech therapist; semi-subjective scoring of chewing; and the patient’s subjective degree of satisfaction were evaluated while wearing definitive dentures. <br>The subjective and objective assessments showed that this patient’s oral functions while wearing dentures after the reshaping operation had improved sufficiently to lead an ordinary life, and the patient was satisfied with oral function and prostheses. <br>It is suggested that the secondary reshaping operation can improve limited tongue movement and make space for dentures, and that comprehensive management including secondary surgical reshaping of the alveolar ridge and prostheses should be performed to improve oral function, chewing, swallowing, speech, and the patient’s overall satisfaction.

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