Linked Life Data

9064298

Source:http://linkedlifedata.com/resource/pubmed/id/9064298

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
1997-3-18
pubmed:abstractText
Radical orofacial tumor resections often result in speech and swallowing dysfunctions. Thus, both communication ability and life quality can be markedly impaired in patients. Dysfunction is mostly related to the amount of tissue removed and the reconstruction technique used. In this prospective study, pre- and postoperative speech intelligibility following reconstruction with either local grafts, free jejunal flaps or myocutaneous/fasciocutaneous flaps was examined by subjective assessment of monosyllables chosen from the Freiburg audiometry test ("reverse speech intelligibility test"). It was shown that linguodental affricates and dorsofaucal plosives were especially affected, even preoperatively, in patients with T3 and T4 tumors, while additional deterioration of speech function occurred postoperatively. When comparing reconstruction techniques, use of local grafts showed less postoperative deterioration in the patients with T3 and T4 tumors (expert rating/student rating -5.0% +/- (-3.8%), whereas impairment was much more evident when jejunal flaps (expert rating/student rating -27.9% +/- (-35.1%) and myocutaneous and faciocutaneous flaps (expert rating/student rating -34.2% +/- (-48.1%) were used. Results demonstrated that patients should be informed about negative side effects following radical tumor resections and reconstructions of large tissue defects. Surgery should avoid marked motor and sensory nerve lesions whenever possible. Before speech therapy is begun, speech function should be examined carefully. Speech intelligibility should also be documented, e.g. with audio tapes, for quality assessment.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0017-6192
pubmed:author
pubmed:issnType
Print
pubmed:volume
44
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
634-9
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1996
pubmed:articleTitle
[Articulatory capacity and intelligibility of speech of patients with carcinomas of the mouth cavity. A comparison of pre- and postoperative results of various reconstruction techniques].
pubmed:affiliation
Klinik für Phoniatrie und Pädaudiologie, Medizinische Hochschule, Hannover.
pubmed:publicationType
Journal Article, English Abstract