Tongue function and its influence on masticatory performance in patients treated for oral cancer: a five-year prospective study.
Purpose: The purpose of this study was to observe the impact of oral oncological treatment, including the recovery of several tongue functions (force, mobility, and sensory functions), and to determine the influence of these functions on masticatory performance.Materials and Methods: Masticatory per...
| Publicado en: | Supportive Care in Cancer Vol. 28; no. 3; pp. 1491 - 1502 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Mar2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141453737&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141453737 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Mar2020 vid: 28 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 141453737 141453737 NLM31273502 141453737 10.1007/s00520-019-04913-y NLM31273502 141453737 ppf: 1491 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Tongue function and its influence on masticatory performance in patients treated for oral cancer: a five-year prospective study. aug: au: de Groot, Reilly J. Merkx, Matthias A.W. Hamann, Merel N.S. Brand, Henk S. de Haan, Anton F.J. Rosenberg, Antoine J.W.P. Speksnijder, Caroline M. affil: Department of Oral and Maxillofacial Surgery and Special Dental Care, University Medical Center Utrecht, Utrecht University, 3508 GA, Utrecht, The Netherlands sug: subj: Mastication Physiology Mouth Neoplasms Pathology Tongue Physiology Mouth Neoplasms Therapy Female Prospective Studies Male Aged Bite Force Middle Age Human Aged: 65+ years Middle Aged: 45-64 years Female Male ab: Purpose: The purpose of this study was to observe the impact of oral oncological treatment, including the recovery of several tongue functions (force, mobility, and sensory functions), and to determine the influence of these functions on masticatory performance.Materials and Methods: Masticatory performance and tongue force, mobility, and sensory functions were determined in 123 patients with oral cavity cancer. The assessments were performed 4 weeks before treatment and 4 to 6 weeks, 6 months, 1 year, and 5 years after treatment. Generalized estimation equations and mixed model analyses were performed, correcting for previously identified factors in the same population.Results: A significant deterioration in tongue mobility and sensory function was observed in patients with mandible and tongue and/or floor-of-mouth tumors. Better tongue force and sensory function (thermal and tactile) positively influenced masticatory performance, and this effect was stronger where fewer occlusal units were present. The effect of both the tongue force and maximum bite force was weaker in dentate patients in comparison with patients with full dentures. A web-based application was developed to enable readers to explore our results and provide insight into the coherence between the found factors in the mixed model.Conclusions: Tongue function deteriorates after oral oncological treatment, without statistically significant recovery. Adequate bite and tongue forces are especially important for patients with a poor prosthetic state. Patients with sensory tongue function deficits especially benefit from the presence of more occluding pairs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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