유리피판을 이용한 설재건 후의 기능평가

• 영문명: Functional Assessment after Tongue Reconstruction using Free Flap
• 발행기관: 대한두경부종양학회
• 저자명: 박성호(Sung Ho Park) 정철훈(Chul Hoon Chung) 이종욱(Jong Wook Lee) 장용준(Yong Joon Chang) 노영수(Young Soo Rho)
• 간행물 정보: 『대한두경부종양학회지』제25권 제2호, 119~122쪽, 전체 4쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2009.11.30

영문 초록

Objectives ：Ablation of carcinoma of the tongue leads to deficits in speech and swallowing, but none to date has provided all of the qualities of mobility and sensation to simulate the complex function of the tongue. The au-thors evaluated postoperative swallowing and pronouncing function in patients who underwent tongue recon-struction using free flap. Material and Methods ：This is a retrospective review documenting the outcome of 42 patients between January of 1991 and August of 2008. We classified patients according to the size of resection of the tongue like as 7 partial glossectomy, 25 hemiglossectomy, 2 subtotal glossectomy, and 8 total glossectomy. Swallowing function was graded into 4 point scale and pronouncing function was analyzed using picture con-sonant articulation test. Aspiration was evaluated with videofluoroscopic swallowing study. Results ：The av-erage points for swallowing function were 3.43 in partial glossectomy, 3.52 in hemiglossectomy, 3 in subtotal glossectomy, and 2.63 in total glossectomy. The percentage of consonants correct showed 76.5% in partial glos-sectomy, 72.29% in hemiglossectomy, 47.69% in subtotal glossectomy, and 29.94% in total glossectomy. As-piration was noted in 3 patients(1 hemiglossectomy and 2 total glossectomy) and 2 total glossectomy patients were taken permanent feeding gastrostomy. Conclusion ：Free flap gave us proper volume in tongue reconstruc-tion and showed good result in preserving swallowing function. Swallowing function difference according to the size of defect showed no statistical significance, whereas articulation function was shown to decrease in accuracy as the size of defect was larger.

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키워드

Tongue cancer Free flap Speech Swallowing 설암 유리피판 언어 연하.