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Does Swallowing Function Recover in the Long Term in Patients With Surgically Treated Tongue Carcinomas?

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Title: Does Swallowing Function Recover in the Long Term in Patients With Surgically Treated Tongue Carcinomas?
Authors: Tei, Kanchu Browse this author →KAKEN DB
Sakakibara, Noriyuki Browse this author
Yamazaki, Yutaka Browse this author →KAKEN DB
Ohiro, Yoichi Browse this author →KAKEN DB
Ono, Mitsunobu Browse this author →KAKEN DB
Totsuka, Yasunori Browse this author →KAKEN DB
Keywords: swallowing function
videofluoroscopic examination
Oropharyngeal Swallow Efficiency (OPSE)
long-term follow-up
tongue carcinoma
Issue Date: Nov-2012
Publisher: Elsevier
Journal Title: Journal of Oral and Maxillofacial Surgery
Volume: 70
Issue: 11
Start Page: 2680
End Page: 2686
Publisher DOI: 10.1016/j.joms.2012.01.021
PMID: 22520569
Abstract: Purpose: The present study aims to measure the post-surgical swallowing function in patients five years after operative treatment of tongue carcinoma. Patients and Methods: Using a retrospective cohort study design, the investigators enrolled post-surgical patients treated for tongue carcinomas in Hokkaido University Hospital. The primary outcome variable was the Oropharyngeal Swallow Efficiency (OPSE) determined by videofluoroscopic evaluation and the OPSE at present was compared with that at discharge. Other variables included present nutritional status (Body Mass Index: BMI, Serum Albumin), dietary intake, self-rating of the present swallowing function, and occurrence of pneumonia. Statistical analysis used the paired t-test and Spearman's rank correlation. Results: The swallowing function was assessed in 20 patients (11 males and 9 females) subjected to surgical treatment of tongue carcinomas; the median age was 70 years (range 56-90 years) at the present evaluation. The mean values of the liquid OPSE and paste OPSE at present were 26.6±21.2 and 21.9±22.5, respectively. The mean values for BMI and serum albumin at present were 22.2±3.4 and 4.5±0.3g/dl respectively. All patients had a full oral intake of foods, with a mean self-rated value of 6.4±2.5, an acceptable value as evaluated by the patients. Pneumonia requiring hospitalization had not occurred in these patients. Conclusions: Long-term follow-up of patients following operative treatment of tongue carcinomas demonstrate acceptable levels of oral function and nutritional status despite objective measures of poor swallowing efficiency assessed using a videofluoroscopy.
Type: article (author version)
URI: http://hdl.handle.net/2115/50901
Appears in Collections:歯学院・歯学研究院 (Graduate School of Dental Medicine / Faculty of Dental Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 鄭 漢忠

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