Salivary stress biomarker levels during speech in patients with maxillectomy defect.

Salivary stress biomarker levels during speech in patients with maxillectomy defect.
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上颌骨切除缺损患者言语过程中唾液应激生物标志物水平。

DOI:
10.1002/hed.21508
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发表时间:
2011
期刊:
Head & Neck
影响因子:
--
通讯作者:
Minagi S
Minagi S
中科院分区:
--
文献类型:
--
作者:
Ugawa Y;Nishhigawa G;Maruo Y;Suwaki M;Minagi S

文献摘要

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背景颌面部肿瘤切除后,除了外观和心理功能的改变外,还观察到与咀嚼、吞咽和语言有关的严重功能问题。虽然修复治疗可以恢复言语功能,但患者有时会抱怨对他们的言语持续不满意。本研究的目的是评估潜在的不满意的患者上颌骨切除术的缺陷在speech.MethodsSixteen患者上颌闭孔器进行了比较,与匹配的对照组。功能改善的颌面部假体确认使用语音清晰度测试,咀嚼功能评分,视觉模拟量表的主观满意度。皮质醇和嗜铬粒蛋白A(CGA)进行了评价后,规定的语音tasks.ResultsCGA的患者上颌骨切除术的缺陷是显着高于对照组(p< .05),即使后的功能改善颌面prosthes.ConclusionIt揭示,患者上颌骨切除术的缺陷有显着的心理压力在讲话中,即使当他们的颌面假体导致成功的功能改善。© 2010 Wiley Periodicals,Inc.头颈部,2011年
BackgroundAfter resection of maxillofacial tumors, severe functional problems related to mastication, deglutition, and speech are observed in addition to the changes in appearance and psychosocial functioning. Although speech outcome is recovered with prosthetic treatments, patients sometimes complain of continued dissatisfaction with their speech. The purpose of this study was to evaluate the potential dissatisfaction of patients with maxillectomy defects during speech.MethodsSixteen patients with maxillary obturator were compared with a matched control group. Functional improvement by the maxillofacial prosthesis was confirmed using a speech intelligibility test, a chewing function score, and visual analogue scale on subjective satisfaction. Cortisol and chromogranin A (CgA) were evaluated after prescribed speech tasks.ResultsCgA in patients with maxillectomy defects was significantly higher than that in the control group (p< .05), even after the functional improvement by maxillofacial prosthesis.ConclusionIt was revealed that patients with maxillectomy defects have significant psychological stresses during speech, even when their maxillofacial prosthesis resulted in successful functional improvement. © 2010 Wiley Periodicals, Inc. Head Neck, 2011