舌・口腔底, 中咽頭再建例の術後機能

抄録

Post-operative speech and swallowing were examined in 46 patients with tongue, oral floor or oropharyngeal cancer. Speech function after surgery for tongue or oral floor cancer depended on the extent of tongue resection. Speech function after hemiglossectomy was best if reconstruction was performed with a free rectus abdominis myocutaneous flap, and worst in those in whom a pectoralis major myocutaneous flap was used. Although the degree of speech intelligibility of patients with oropharyngeal cancer was superior to that of patients with tongue or oral floor cancer, articulation was not good because of rhinolalia aperta after reconstruction of the soft palate. Mandibular transection or resection during surgery was considered to be related to post-operative speech and swallowing functions. The age of the patient was only slightly related to post-operative function.