Clinical function after primary surgery for oral and oropharyngeal cancer: an 11-item examination
Clinical function after primary surgery for oral and oropharyngeal cancer: an 11-item examination
复制标题
DOI：
10.1054/bjom.2001.0701
复制
发表时间：
2002-02-01
影响因子：
1.8
通讯作者：
Vaughan, ED
中科院分区：
文献类型：
--
作者：
Rogers, SN;Lowe, D;Vaughan, ED
这项研究的目的是通过11项临床检查记录临床功能，并确定主要的术后功能缺陷。在1995年1月至1997年6月期间连续132例因先前未治疗的疾病而接受手术的患者中，130人被纳入研究。分别于术前1天、术后6个月、12个月进行11项临床检查。检查内容包括唇力、舌动、口腔粘膜、牙齿状态、张口度、言语、流口水、饮食、外表、口腔感觉和肩部活动。术后舌动、张口、粘膜、牙列、言语、饮食、外表、嘴唇感觉、舌头感觉等功能评分下降尤为明显。1岁时，牙齿状况、感觉和口腔粘膜明显受损。大肿瘤、游离组织移植或辅助放射治疗的患者的功能水平最差。简单的临床检查提供了快速的功能评估，可以与有效的问卷一起使用，以提供更全面的结果评估。(C)2002年英国口腔和颌面外科医生协会。
The aim of this study was to record clinical function using an 11-item clinical examination and identify the main postoperative functional deficits.Of 132 consecutive patients undergoing surgery for previously untreated disease between January 1995 and June 1997, 130 were recruited in the study. An 11-domain clinical examination was made on the day before operation, and at 6 and 12 months afterwards. This examination assessed lip competence, tongue movement, oral mucosa, dental state, mouth opening, speech, drooling, diet, appearance, oral sensation and shoulder movement.Preoperatively there were deficits in natural dentition, consistency of diet and tongue protrusion. Postoperatively functional scores fell particularly for tongue movements, mouth opening, mucosa, dentition, speech, diet, appearance, lip sensation and tongue sensation. At 1 year, dental status, sensation and oral mucosa were particularly defective. Patients with large tumours, free tissue transfer, or adjuvant radiotherapy had the worst levels of function.A simple clinical examination provides a rapid assessment of function that can be used in conjunction with validated questionnaires to provide a more comprehensive evaluation of outcome. (C) 2002 The British Association of Oral and Maxillofacial Surgeons.