Annals of Japan Prosthodontic Society
Online ISSN : 1883-6860
Print ISSN : 1883-4426
ISSN-L : 1883-4426
Case Reports (Specialist)
A case of improving swallow and speech function with a palatal augmentation prosthesis after operation for lingual cancer
Yusuke Makihara
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2021 Volume 13 Issue 4 Pages 337-340

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Abstract

Patient: The patient was a 71-year-old woman. In 1990, lingual cancer (T3N0M0) on the left side was diagnosed, and lingual resection and brachytherapy were performed. Then, in 2016, she was referred to our hospital with a chief complaint of mastication disorder due to loss of tooth 65| and dysphagia/dysarthria after surgery for lingual cancer.

Discussion: Tongue training was conducted in parallel with denture treatment, however, sufficient functional recovery of swallowing and articulation was not observed. Therefore, it was decided to insert a PAP. This was completed after confirming functional improvement by fluoroscopy of swallowing. The tongue pressure after using the PAP was higher than that before using it. In addition, although some problems in articulation remain, it has generally improved and the PAP is still functioning without problems.

Conclusion: Patient satisfaction increased with improvement of swallowing and articulation functions by a PAP.

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