Head & neck · 2015
Oral squamous cell carcinoma of the tongue: Prospective and objective speech evaluation of patients undergoing surgical therapy.
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Riemann Max, Knipfer Christian, Rohde Maximilian, Adler Werner, Schuster Maria, Noeth Elmar, Oetter Nico, Shams Nima, Neukam Friedrich-Wilhelm, Stelzle Florian
Аннотация
BACKGROUND: Prospective speech intelligibility assessments lack objectivity in patients undergoing surgery for oral squamous cell carcinoma (OSCC) of the tongue.
METHODS: Speech intelligibility was measured based on word recognition by means of an automatic and objective speech recognition system preoperatively, and 14 to 20 days, and 3 months, 6 months, and 12 months postoperatively. The study comprised 25 patients with OSCC of the tongue and a healthy control group (n = 40).
RESULTS: Patients yielded significant speech impairments compared to the healthy control group both before surgery and after 12 months (p ≤ .002). The speech intelligibility of the patients decreased significantly 14 to 20 days after surgery (p < .001) but realigned to preoperative values after 12 months (p = .159). Preservation of the tip of the tongue resulted in significantly higher word recognition after 12 months (p = .007; Δword recognition = 16.29).
CONCLUSION: Having OSSC of the tongue results in a significant impairment of speech intelligibility. The preservation of the tip of the tongue seems to be a central factor concerning the recovery of speech. © 2015 Wiley Periodicals, Inc. Head Neck 38: 993-1001, 2016.
METHODS: Speech intelligibility was measured based on word recognition by means of an automatic and objective speech recognition system preoperatively, and 14 to 20 days, and 3 months, 6 months, and 12 months postoperatively. The study comprised 25 patients with OSCC of the tongue and a healthy control group (n = 40).
RESULTS: Patients yielded significant speech impairments compared to the healthy control group both before surgery and after 12 months (p ≤ .002). The speech intelligibility of the patients decreased significantly 14 to 20 days after surgery (p < .001) but realigned to preoperative values after 12 months (p = .159). Preservation of the tip of the tongue resulted in significantly higher word recognition after 12 months (p = .007; Δword recognition = 16.29).
CONCLUSION: Having OSSC of the tongue results in a significant impairment of speech intelligibility. The preservation of the tip of the tongue seems to be a central factor concerning the recovery of speech. © 2015 Wiley Periodicals, Inc. Head Neck 38: 993-1001, 2016.
Предметные рубрики MeSH
AgedAged, 80 and overBiopsy, NeedleCarcinoma, Squamous CellCase-Control StudiesDatabases, FactualDisease-Free SurvivalFemaleGermanyGlossectomyHumansImmunohistochemistryMaleMiddle AgedMouth NeoplasmsPrognosisProspective StudiesPlastic Surgery ProceduresSpeech IntelligibilityStatistics, NonparametricSurgical FlapsSurvival AnalysisTongue Neoplasms