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논문 기본 정보

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학술저널
저자정보
Narihiro Kodama (Department of Rehabilitation, Kumamoto Health Science University, Kumamoto, Japan) Yoshihiko Kumai (Department of Otolaryngology Head and Neck Surgery, Nagasaki University Graduate School of Medicine) Takumi Miyamoto (Department of Otolaryngology Head and Neck Surgery, Kumamoto University Graduate School of Medicine) Keigo Matsubara (Department of Rehabilitation, Kumamoto Health Science University, Kumamoto, Japan) Yasuhiro Samejima (Department of Otolaryngology, Kumamoto Kinoh Hospital, Kumamoto, Japan) Yorihisa Orita (Department of Otolaryngology Head and Neck Surgery, Kumamoto University Graduate School of Medicine)
저널정보
대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제45권 제5호
발행연도
2021.10
수록면
368 - 378 (11page)
DOI
10.5535/arm.21035

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Objective To investigate the factors affecting the postoperative swallowing dysfunction in patients who underwent oral cancer surgery. Methods Retrospective review of clinical records of 70 patients (50 males and 20 females) who underwent oral cancer surgeries from July 2007 to April 2015 were enrolled. Multiple regression analysis was performed using the Food Intake LEVEL Scale (FILS) at discharge as the objective variable and age, tumor size, resection of the tongue base, suprahyoid muscle resection, segmental mandibulectomy, neck dissection and radiation therapy as the explanatory variables in 70 patients. In addition, multiple regression analysis was performed between objective variables, which include maximum hyoid bone movement, laryngeal elevation delay time, pharyngeal constriction ratio (PCR), residue in the vallecular and pear-shaped depression (pyriform sinuses), and Penetration-Aspiration Scale score and one of the main factors representing the characteristics of each case as the explanatory variables, and age was treated as an adjustment factor in 23 patients. Results The FILS shows significant negative correlation by age and resection of the tongue base. In videofluoroscopic swallowing study, the maximum movement, PCR and residue in the vallecular are significantly correlated with factors demonstrating the characteristic for each case. Conclusion It was suggested that in elderly patients, the presence of more than half of the tongue base resection, suprahyoid muscle resection and neck dissection cause severe dysphagia after surgery.
#Oral cancer #Swallowing dysfunction #Food Intake LEVEL Scale (FILS) #Videofluoroscopic analysis

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참고문헌 (28)

참고문헌 신청
Fujimoto Y / 2007 / Swallowing function following extensive resection of oral or oropharyngeal cancer with laryngeal suspension and cricopharyngeal myotomy / Laryngoscope 117:1343~1348 google schola Matsunaga K / 2008 / Swallowing function in patients who underwent hemiglossectomy and reconstruction with a pectoralis major myocutaneous flap / Nihon Gekakei Rengo Gakkaishi 33:829~836 google schola Pauloski BR / 1998 / Speech and swallowing in irradiated and nonirradiated postsurgical oral cancer patients / Otolaryngol Head Neck Surg 118:616~624 google schola Pauloski BR / 1995 / Biomechanical analysis of the pharyngeal swallow in postsurgical patients with anterior tongue and floor of mouth resection and distal flap reconstruction / J Speech Hear Res 38:110~123 google schola Fujishima I / 1993 / Textbook of rehabilitation for swallowing disorders associated with stroke / Ishiyaku Publishers :143~152 google schola

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