A STUDY OF POSTOPERATIVE ORAL FUNCTIONS AFTER RECONSTRUCTION WITH FLAPS

1.建立了评价术后口腔功能的通用标准，建立了评价术后口腔功能的通用标准。除了这些标准外，我们还为患者准备了一份调查问卷和一份包括背景因素和日常口腔功能测试的方案。1)受试者分析：对98例受试者进行检查。最常见的切除区域是舌头和月底。2)术后口腔功能：(1)关节功能：语言清晰度、交谈清晰度和问卷调查数据表明，对于接受舌体部分切除、舌体活动部分切除或舌侧全舌切除的患者，采用肌皮瓣重建后的关节功能要好于接受部分舌体切除、舌体活动部分切除或舌侧全舌切除的患者。(2)咀嚼功能：除了在全舌切除后使用的显色口香糖方法外，(3)吞咽功能：舌体部分切除或舌移位切除后，真皮瓣重建吞咽功能优于肌皮瓣重建，而舌半切除后应用筋膜皮瓣重建吞咽功能较好。

1. Common criteria were established to evaluate postoperative oral functions.Common criteria were established in the present study to evaluate postoperative oral functions. In addition to these criteria, we also prepared a questionnaire for patients and a protocol that included background factors and aruanual to test oral functions.2. We surveryed and analyzed postoperative functions.1) Analysis of Subjects :Ninety-eight subjects were examined. The most commonly resected area were the tongue and the floor of the month. Dermal flap, usually taken from theforearm, were more frequently used thanwere mnusculocutaneous flaps.2) Postoperative oral functions :(1) Articulatory function : Speech intelligibility, conversation intelligibility, and questionnaire data suggested that articulatory function was better after reconstruction with clermal flaps that after reconstruction with musculocutaneous flaps for patients who undergone partial glossectomy, hemiglossectomy of the mobile part of the tongue, or henmiglossectomny of the entire tongue in the lateral type.(2) Masticatory function : With the exception of the color-developing chewing gum method used in patients after heiniglossectomy of the entire tongue, objective evaluations after glossectomy indicated that inasticatory function was better after reconstruction with dermal flaps than after reconstruction with musculocutaneous flaps.(3) Swallowing function : Swallowing function was better after reconstruction with dernial flaps than after reconstruction with niusculocutaneous flaps in patients who had undergone partial glossectomy or henmiglossectomy of the mobile part of the tongue but was better after reconstruction with inusculocutaneous flaps in patients who had undergone hemiglossectomy.This study has clarified the effect of the extent of resection and the method of reconstruction on postoperative functions in patients who have undergone glossectomy (partial glossectomy to heiniglossectouimy of the entire tongue).