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Effective rehabilitation after partial glossectomy.

G K Bachher1, K Dholam, P S Pai

  • 1Tata Memorial Hospital, Dr. Borges Road, Parel, 400012 Mumbai, Maharashtra India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 3, 2012
PubMed
Summary
This summary is machine-generated.

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Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required

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Glossectomy, or tongue cancer surgery, significantly impairs speech and swallowing. Rehabilitation effectiveness for glossectomy patients hinges on assessing post-operative speech abilities and individual factors.

Area of Science:

  • Oncology
  • Speech-Language Pathology
  • Head and Neck Surgery

Background:

  • Surgical treatment for tongue cancer often leads to speech deficits.
  • Speech disorders post-glossectomy include impaired articulation, intelligibility, resonance, and voice quality.
  • Assessing speech intelligibility is crucial as speech serves as a primary social tool.

Purpose of the Study:

  • To evaluate the speech and deglutition outcomes in patients following glossectomy.
  • To understand the impact of glossectomy on various aspects of speech production and swallowing.
  • To identify factors influencing the speech rehabilitation process in glossectomy patients.

Main Methods:

  • A study was conducted at Tata Memorial Hospital, Mumbai.
  • An incidental sample of 25 glossectomy patients was selected.
Keywords:
ArticulationDeglutitionGlossectomy

Related Experiment Videos

  • Post-operative speech and deglutition were assessed using specially devised questionnaires 3 months after surgery.

    • Main Results:

    • Larger tongue resections correlate with greater speech distortion and deglutition difficulties.
    • Glossectomy severely impairs functions involving tongue interaction with head and neck anatomy.
    • Speech and swallowing impairments are significant challenges for glossectomy patients.

    Conclusions:

    • The extent of tongue removal directly impacts speech and swallowing function.
    • Effective rehabilitation for partial glossectomy requires a personalized approach.
    • Factors such as post-operative articulation, education, age, and motivation are key to successful speech rehabilitation.