Speech Rehabilitation of Patients With Oral Cavity and Oropharyngeal Cancers After Reconstructive Surgery

Красавина, Е. А.; Choynzonov, E. L.; Kulbakin, D. Е.; Balatskaya, L. N.; Zangieva, Karina A.

doi:10.21294/1814-4861-2020-19-5-35-43

Cited by 4 publications

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References 8 publications

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“…At the first stages, the aim of the exercises was to restore the activity and coordination of the muscles of the articulatory apparatus, speech exhalation and the reconstructed tongue, and then they began to correct sound pronunciation. Postoperative speech rehabilitation made it possible to improve the state of speech function in 100 % of cases (56 patients); a complete restoration of speech was achieved in 7 patients (12.5 %) [32].…”

Section: Head and Neckmentioning

confidence: 99%

Medical Rehabilitation and Sanatorium Treatment of Patients after Medical Care in The Field of Oncology: а Review

Daykhes,

Shulaev,

Machula

et al. 2024

Bulletin of Rehabilitation Medicine

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INTRODUCTION. Physical therapy, natural healing resources, spa treatment technologies and other medical rehabilitation reduce the negative effects of treatment-related symptoms and improve the physical function of patients with cancer. Despite a growing body of evidence and recommendations to better integrate medical rehabilitation into cancer care, rehabilitation is a relatively underutilized service. AIM. To summarize the available Russian studies on the use of medical rehabilitation and spa treatment in patients after care, in the field of oncology. MATERIALS AND METHODS. Analysis of the published scientific literature. Meta-analyses, systematic reviews, cohort, prospective and controlled studies for the period from 2014 to 2022 were selected for consideration. RESULTS. Treatment of a cancer patient should not only focus on eliminating the disease directly and restoring the physical functions of the body, but also on restoring the person's ability to live as acceptably as possible in and after the disease. Medical rehabilitation is carried out by the efforts of various specialists in a multidisciplinary team, and their work should consider the peculiarities of the course of the underlying disease, the condition of the cancer patient and his/her (the patient's) individual characteristics. CONCLUSION. Improving rehabilitation care in accordance with the recommendations can have a significant impact on the functioning and quality of life of cancer patients.

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Section: Head and Neckmentioning

confidence: 99%

Medical Rehabilitation and Sanatorium Treatment of Patients after Medical Care in The Field of Oncology: а Review

Daykhes,

Shulaev,

Machula

et al. 2024

Bulletin of Rehabilitation Medicine

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Feasibility of correcting defects in the pronunciation of posterior lingual sounds resulting from oral cavity and oropharyngeal cancer surgery

Krasavina,

Choinzonov,

Kulbakin

et al. 2023

Medical and Social Expert Evaluation and Rehabilitation

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BACKGROUND: Speech dysfunction is noted in patients who have undergone hemiglossectomy or glossectomy for cancer of the oral cavity and oropharynx, including the pronunciation of sounds [k], [k’], [g], and [g’]. AIMS: To evaluate the effectiveness of correction of the pronunciation of posterior lingual sounds in patients with oral cavity and oropharyngeal cancers after surgical treatment. MATERIALS AND METHODS: The objective and subjective assessments of speech allowed speech therapists to examine defects in the pronunciation of posterior lingual sounds [k], [k’], [g], and [g’] in patients with oral cavity and oropharyngeal cancer who underwent surgery. The effectiveness of correcting defects in the pronunciation of posterior lingual sounds was evaluated considering the extent of surgery. The study included 171 patients with stage II–IV oral cavity and oropharyngeal cancers. The age of the patients ranged from 24 to 70 years. The patients underwent hemiglossectomy, hemiglossectomy with reconstruction, or glossectomy with reconstruction. Combined modality treatment and postoperative speech rehabilitation were performed at the Department of Head and Neck Tumors of the Cancer Research Institute. RESULTS: In all patients before starting the combined treatment, the pronunciation of posterior lingual sounds [k], [k’], [g], and [g’] corresponded to the norms in the Russian language. After surgery, the pronunciation of these sounds was impaired in most patients. In group III (after glossectomy with reconstruction), pronunciation defects were observed in 100% of the cases. The corrective speech therapy included a set of breathing and articulation exercises for the muscles of the cheeks, lips, and tongue using passive motor gymnastics as the basis for activating and coordinating the patient’s articulation apparatus. CONCLUSION: The presented system of subsequent correction and automation of posterior lingual sounds allowed the correction of the pronunciation of these sounds in most patients.

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Sound pronunciation correction in patients after glossectomy. Сomparative prospective study

Krasavina,

Choynzonov,

Kulbakin

et al. 2024

Sib. onkol. ž.

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The purpose of the study was to compare the effectiveness of correction of sound pronunciation in patients after glossectomy without reconstructive surgery and glossectomy with reconstructive surgery. Material and Methods. The study included 56 patients with histologically verified stage III –IV oral cavity and oropharyngeal cancer. All patients were divided into two groups: those undergoing reconstructive surgery after glossectomy and those not undergoing reconstructive surgery after glossectomy. Data on the dynamics of sound pronunciation correction were assessed during the rehabilitation period, as well as 6 and 12 months after completion of speech therapy. The parameters were scored from 0 to 4, where 0 indicated no speech sound disorders, and 4 indicated maximum disorders. Results. All patients showed absolute (4 points) speech sound disorders after surgery. Speech rehabilitation in patients, who underwent reconstructive surgery after glossectomy, resulted in a significant improvement in the pronunciation of posterior lingual sounds: [K], [G], [K’], [G’], whistling (lingual-dental) sounds: [S], [S’], [Z ], [Z’], front-lingual sounds: [T], [Т’], [D], [D’] and hissing sounds: [Sh, [Zh] (p<0.05). In patients, who underwent glossectomy without reconstructive surgery, a statistically significant improvement in sound pronunciation was observed only after correcting posterior lingual hard sounds: [K], [G] (p<0.05). Conclusion. The results obtained highlight the importance of reconstructive surgery after glossectomy to achieve better results of functional restoration and improve the quality of speech function of patients.

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Speech Rehabilitation of Patients With Oral Cavity and Oropharyngeal Cancers After Reconstructive Surgery

Cited by 4 publications

References 8 publications

Medical Rehabilitation and Sanatorium Treatment of Patients after Medical Care in The Field of Oncology: а Review

Medical Rehabilitation and Sanatorium Treatment of Patients after Medical Care in The Field of Oncology: а Review

Feasibility of correcting defects in the pronunciation of posterior lingual sounds resulting from oral cavity and oropharyngeal cancer surgery

Sound pronunciation correction in patients after glossectomy. Сomparative prospective study

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