Evaluation of speech intelligibility after a secondary dehiscence operation using an artificial graft in patients with speech disorders after partial glossectomy

The purpose of this study was to evaluate speech intelligibility after a dehiscence operation using artificial grafts for patients with speech disorders after partial glossectomy that were caused by scars resulting from the primary operation. The subjects were six men and three women, who had had a...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2004-06, Vol.42 (3), p.190-194
Main Authors: Terai, Haruhiko, Shimahara, Masashi
Format: Article
Language:English
Subjects:
Adult
Aged
Animals
Artificial graft
Biological and medical sciences
Cattle
Cicatrix - complications
Cicatrix - etiology
Cicatrix - surgery
Collagen - therapeutic use
Dentistry
Female
Glossectomy - adverse effects
Humans
Male
Medical sciences
Membranes, Artificial
Middle Aged
Oral Surgical Procedures - methods
Otorhinolaryngology. Stomatology
Secondary dehiscence operation
Speech Articulation Tests
Speech Disorders - etiology
Speech Disorders - surgery
Speech Intelligibility
Tongue Neoplasms - surgery
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Summary:The purpose of this study was to evaluate speech intelligibility after a dehiscence operation using artificial grafts for patients with speech disorders after partial glossectomy that were caused by scars resulting from the primary operation. The subjects were six men and three women, who had had a partial glossectomy for tongue cancer followed by direct closure without reconstruction. They were operated on a second time operation to mobilise the residual tongue by dividing the cicatrix. An artificial graft was applied to the wound to maintain the dehiscence. Speech intelligibility was evaluated by a standardised Japanese speech intelligibility test before, and 6 and 12 months after the second operation. The intelligibility scores significantly improved during the first 6 months after the second operation, and continued to improve slightly during the following 6 months. This study suggests that the dehiscence operation using an artificial graft could improve speech in patients after partial glossectomy.
ISSN:0266-4356
1532-1940
DOI:10.1016/j.bjoms.2004.02.007