It is common that patients after surgery for oral cancer have the loss of the tissue in the oral cavity and develop swallowing and articulation disorders.
There have been many reports of treatment using a palatal augmentation prosthesis (PAP); however, there are only a few reports on the use of an artificial tongue in addition to a PAP. We reported our experience of two cases who used an artificial tongue in addition to a PAP.
The swallowing function was tested using 10 ml of yogurt-like material. The swallowing time and intraoral residual quantity after swallowing were measured under four conditions: with/without PAP and artificial tongue. The speech function was tested with the Japanese syllable intelligibility test.
Case 1: A 72-year-old man diagnosed as tongue cancer, treated with partial glossectomy and resection of the floor of the mouth with radial forearm flap reconstruction.
Case 2: A 76-year-old man diagnosed as floor of the mouth cancer, treated with partial glossectomy and resection of the floor of the mouth with radial forearm flap reconstruction.
In both cases, when wearing the PAP and artificial tongue, the swallowing time was shortened, the amount of oral residue decreased, and the total correct answer rate of the Japanese syllable intelligibility test was improved.
It is suggested that wearing the artificial tongue is effective for cases with obvious recess of the floor of the mouth.
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