AN EVALUATION OF FUNCTIONAL OUTCOME AFTER SURGERY AND RADIOTHERAPY FOR INTRAORAL CANCER
AN EVALUATION OF FUNCTIONAL OUTCOME AFTER SURGERY AND RADIOTHERAPY FOR INTRAORAL CANCER
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DOI：
10.1016/0266-4356(92)90130-b
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发表时间：
1992-02-01
影响因子：
1.8
通讯作者：
SOUTAR, DS
中科院分区：
文献类型：
--
作者：
FINLAY, PM;DAWSON, F;SOUTAR, DS
225名接受口腔癌治疗的患者接受了研究。记录肿瘤部位、分类及治疗方式，术后评估患者吞咽能力。根据饮食的一致性，患者被分为三组。术前和术后均进行牙齿检查，术前和术后均称重。概述了术后功能问题。结果表明，21%的样本报告吞咽固体食物有困难，46%的样本术后仅限于半固体或液体饮食；16%的患者术后不能佩戴上、下义齿，15%的无牙患者仅能佩戴上义齿；65%接受手术和放疗的患者在6个月后无法恢复术前体重。没有进行放疗的T1肿瘤患者术后表现更好，更有可能恢复正常饮食并恢复术前体重。
Two hundred and fifty five patients undergoing treatment for oral cancer were studied. Tumour site, classification and treatment modality were recorded and an assessment of their ability to swallow was made postoperatively. Patients were graded into one of three groups depending on dietary consistency. Pre- and postoperative dental examinations were made and patients were weighed pre- and postoperatively. Postoperative functional problems are outlined. The results indicated that 21% of the sample reported difficulty with swallowing solid foods and 46% were limited to semi-solid or liquid diets postoperatively; 16% were unable to wear upper or lower dentures postoperatively and 15% of edentulous patients were able to wear an upper denture only; 65% of the patients who had surgery and radiotherapy were unable to regain their preoperative weight after 6 months. Patients with T1 tumours who did not progress to radiotherapy faired much better postoperatively and were more likely to return to normal diet and regain their preoperative weight.