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Glossectomy: a case report

J P Dworkin

    Archives of Physical Medicine and Rehabilitation
    |April 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    This case study highlights speech therapy techniques for oral cancer patients. Compensatory articulation strategies significantly improved speech intelligibility after extensive surgery.

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    Area of Science:

    • Oncology
    • Speech-Language Pathology

    Background:

    • A 27-year-old law student with recurrent oral cavity carcinoma underwent extensive surgery.
    • Procedures included partial glossectomy, right hemimandibulectomy, and radical neck dissection.
    • Surgical outcomes led to significant swallowing and speech impairments.

    Observation:

    • The patient required tube feeding for swallowing difficulties and speech therapy for speech impairments.
    • Therapy focused on compensatory articulation techniques to enhance speech intelligibility.
    • Specific adaptations involved tongue stump, labial, and palato-pharyngeal compensations.

    Findings:

    • After 9 months of intensive speech therapy, the patient achieved fair-to-good speech intelligibility.
    • The improved speech function enabled the patient to resume his law studies.

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  • He was able to practice law at the time of this report.

    • Implications:

    • Demonstrates the efficacy of targeted speech therapy in restoring functional communication after major head and neck cancer surgery.
    • Highlights the importance of compensatory articulation strategies for improving speech intelligibility in patients with significant anatomical changes.
    • Suggests that successful rehabilitation can allow patients to return to demanding professional careers post-treatment.