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

  • 松山 美和
    九州大学大学院歯学研究院口腔機能修復学講座咀嚼機能再建学分野
  • 大部 一成
    九州大学大学院歯学研究院口腔顎顔面病態学講座顎顔面腫瘍制御学分野
  • 川野 真太郎
    九州大学大学院歯学研究院口腔顎顔面病態学講座顎顔面腫瘍制御学分野
  • 松下 恭之
    九州大学大学院歯学研究院口腔機能修復学講座咀嚼機能再建学分野
  • 中村 誠司
    九州大学大学院歯学研究院口腔顎顔面病態学講座顎顔面腫瘍制御学分野
  • 古谷野 潔
    九州大学大学院歯学研究院口腔機能修復学講座咀嚼機能再建学分野

書誌事項

タイトル別名
  • A Case Report of Rehabilitation for a Hemi-glossectomy and Treatment Outcome
  • —下顎歯槽堤形成術と最大舌圧の経時的変化—

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抄録

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.

収録刊行物

  • 顎顔面補綴

    顎顔面補綴 33 (1), 15-22, 2010

    一般社団法人 日本顎顔面補綴学会

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