口腔消灭是光切除术重建后功能结果的新型预测器
Molly E Heft Neal1, Joshua D Smith2, Teresa H Lyden1
1Department of Otolaryngology - Head and Neck Surgery, University of Michigan, Ann Arbor, MI, USA.
Oral oncology
|October 8, 2024
概括
一种新方法,口腔体积评估测试 (OVAT),准确地测量舌头重建后的口腔消灭. 较低的残留体积与明显改善的言语和吞功能相关.
科学领域:
- 重建性手术是一种重建性手术.
- 语音病理学 语音病理学
- 吞障碍 吞障碍 吞障碍
背景情况:
- 口舌缺陷的重建旨在恢复言语和吞功能.
- 量化口腔消灭的程度对于预测功能结果至关重要.
- 目前用于评估消灭的现有方法缺乏精度.
研究的目的:
- 引入一种新的指标,即口腔体积评估测试 (OVAT),用于测量口腔消灭.
- 在接受口舌重建的患者中,将OVAT测量与语音和吞结果相关联.
主要方法:
- 47名患有口舌缺陷的患者接受了重建.
- 使用OVAT量化口腔消灭,通过水位移测量剩余体积.
- 结果与标准化语音 (艾滋病) 和吞评估相关.
主要成果:
- 平均残留体积为7.4cc.
- 较低的残留体积 (表明更好的消灭) 与明显改善的语音可理解性相关 (艾滋病效率比R = 0.72,p < 0.001).
- 其余体积预测了正常的营养模式,液体/固体耐受性,以及公开演讲/饮食能力 (p < 0.01).
结论:
- 口腔体积评估测试 (OVAT) 是一个可靠的口腔消灭测量.
- OVAT有效地与提高语音效率,可理解性和吞结果相关联.
- 这一指标有助于预测口舌重建后的功能恢复.
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