Functional Outcomes in a Client with Hemiglossectomy and Segmental Mandibulectomy: A Case Report

Open Access

Year : 2022 | Volume : | Issue : 2 | Page : 34-40
By

    Gang-Ho Jong

  1. Hak-Bom Han

  2. Hui-Chol Kang

  1. Researcher, Department of Medicine, Pyongyang Medical University, Pyongyang, Democratic People’s Republic of Korea
  2. Researcher, Department of Medicine, Pyongyang Medical University, Pyongyang, Democratic People’s Republic of Korea
  3. Researcher, Department of Medicine, Pyongyang Medical University, Pyongyang, Democratic People’s Republic of Korea

Abstract

Glossectomy and mandibulectomy are one of the most common surgical procedures carried out to remove oral tumors. To date, only a few studies have been published regarding the functional outcomes in an individual who have undergone both glossectomy and mandibulectomy. It is important to document detailed changes in speech subsystems, swallowing, and QoL. As a result, the current study focuses on the nature of speech impairment, swallowing difficulties, and quality of life in a 58- year-old man who had a malignant oral tumour and had hemiglossectomy and segmental mandibulectomy. A detailed speech evaluation (perceptual and objective), oral peripheral mechanism examination (OPME) along with swallowing and quality of life evaluation was carried out. Oromotor functions were found to be severely affected. Speech evaluation indicated the presence of misarticulations, compensatory articulation errors, and affected voice quality and prosody, ultimately affecting the understandability as well as acceptability of speech. A moderate degree of dysphagia was also identified during the swallowing evaluation. The ‘health-related QoL of the patient compared to the month before the development of cancer’ was somewhat worse, whereas the ‘healthrelated QoL during the last 7 days’ was fair, furthermore, the overall ‘QoL during the past 7 days’ was reported to be good. This knowledge is frequently applied to rehabilitation, employment, community participation, and to make family members aware of their role in the betterment of an individual with glossectomy or mandibulectomy.

Keywords: Facial filler, Hyaluronic acid, Facial fold, Botulinum toxin, HA and BTX-A

[This article belongs to Research & Reviews : Journal of Surgery(rrjos)]

How to cite this article: Gang-Ho Jong, Hak-Bom Han, Hui-Chol Kang Functional Outcomes in a Client with Hemiglossectomy and Segmental Mandibulectomy: A Case Report rrjos 2022; 11:34-40
How to cite this URL: Gang-Ho Jong, Hak-Bom Han, Hui-Chol Kang Functional Outcomes in a Client with Hemiglossectomy and Segmental Mandibulectomy: A Case Report rrjos 2022 {cited 2022 Feb 21};11:34-40. Available from: https://journals.stmjournals.com/rrjos/article=2022/view=91801

Full Text PDF Download

Browse Figures

References

1. Al-Hebshi NN, Borgnakke WS, Johnson NW. The microbiome of oral squamous cell carcinomas: a functional perspective. Curr Oral Health Rep. 2019 Jun;6(2):145-60.
2. Laaksonen JP, Loewen IJ, Wolfaardt J, Rieger J, Seikaly H, Harris J. Speech After Tongue Reconstruction and Use of a Palatal Augmentation Prosthesis: An acoustic case study. Can J Speech Lang Pathol Audiol. 2009 Dec 1;33(4):196-203.
3. Meyerson MD, Johnson BH, Weitzman RS. Rehabilitation of a patient with complete mandibulectomy and partial glossectomy. Am J Otolaryngol. 1980 May 1;1(3):256-61.
4. Naik PV, Zacharia T, Kuniyil JG. Speech characteristics and swallowing functions postsegmental mandibulectomy. Arch Med Health Sci. 2013 Jul 1;1(2):148.
5. Nargozian C. The airway in patients with craniofacial abnormalities. Paediatr Anaesth. 2004 Jan;14(1):53-9.
6. Knuuttila H, Pukander J, Määttä T, Pakarinen L, Vilkman E. Speech articulation after subtotal glossectomy and reconstruction with a myocutaneous flap. Acta Otolaryngol. 1999 Jan 1;119(5):621-6.
7. Takatsu J, Hanai N, Suzuki H, Yoshida M, Tanaka Y, Tanaka S, Hasegawa Y, Yamamoto M. Phonologic and acoustic analysis of speech following glossectomy and the effect of rehabilitation on speech outcomes. J Oral Maxillofac Surg. 2017 Jul 1;75(7):1530-41.
8. Whitehill TL, Ciocca V, Chan JC, Samman N. Acoustic analysis of vowels following glossectomy. Clin Linguist Phon. 2006 Jan 1;20(2-3):135-40.
9. Krause JC, Braida LD. Acoustic properties of naturally produced clear speech at normal speaking rates. J Acoust. Soc. 2004 Jan;115(1):362-78.
10. Neel AT. Vowel space characteristics and vowel identification accuracy. J Speech Lang Hear Res. 2008;51(3):574–585.
11. Ghosh SK, Ghosh SK. Conservative mandibular resections for oral cavity malignancies: A review. Nepal Med Coll J. 2010 Jun 1;12(2):119-22.
12. Saravanan G, Ranganathan V, Gandhi A, Jaya V. Speech Outcome in Oral Cancer Patients–Preand Post-operative Evaluation: A Cross-sectional Study. Indian J. Palliat. Care. 2016 Oct;22(4):499.
13. Premalatha S, Tara S. Functional outcomes of speech following combined maxillectomy and mandibulectomy- A case study. Am Head Neck Soc. 2012:22-4.
14. Aramany MA, Downs JA, Beery QC, Aslan Y. Prosthodontic rehabilitation for glossectomy patients. J Prosthet Dent. 1982 Jul 1;48(1):78-81.
15. Hey C, Lange BP, EBERLE S, ZARETSKY Y, SADER R, STÖVER T, WAGENBLAST J. Predictability of oral and laryngopharyngeal function for aspiration and limitation of oral intake in patients after surgery for head and neck cancer. Anticancer Res. 2013 Aug 1;33(8):3347-53.
16. Huang ZS, Chen WL, Huang ZQ, Yang ZH. Dysphagia in tongue cancer patients before and after surgery. J Oral Maxillofac Surg. 2016 Oct 1;74(10):2067-72.
17. Logemann JA, Bytell DE. Swallowing disorders in three types of head and neck surgical patients. Cancer. 1979 Sep;44(3):1095-105.
18. Takahashi M, Hideshima M, Park I, Taniguchi H, Ohyama T. Study of mandibular movements in mandibulectomy patients―Border movements and functional movements during Mastication, Deglutition and Speech. J Med Dent Sci. 1999;46(2):93-103.
19. Dzioba A, Aalto D, Papadopoulos-Nydam G, Seikaly H, Rieger J, Wolfaardt J, Osswald M, Harris JR, O’Connell DA, Lazarus C, Urken M. Functional and quality of life outcomes after partial glossectomy: a multi-institutional longitudinal study of the head and neck research network. J Otolaryngol Head Neck Surg. 2017 Dec;46(1):1-11.
20. Dholam KP, Sadashiva KM, Gurav S. Study of Quality of Life in Patients with Soft Tissue Reconstruction Following Mandibulectomy. J Maxillofac Oral Surg. 2019 Jun;18(2):266-72.
21. Kempster GB, Gerratt BR, Abbott KV, Barkmeier-Kraemer J, Hillman RE. Consensus auditoryperceptual evaluation of voice: development of a standardized clinical protocol. Am J Speech Lang Pathol, 2009;18(2):124-132.
22. Hirano M. Psycho-acoustic evaluation of voice. Clinical examination of voice. Wien: SpringerVerlag, 1981; Print.
23. Deepa A. Savithri SR. Re-standardization of Kannada articulation test. Student research at AIISH (Articles based on dissertation done at AIISH). 2010;8:53-5.
24. Henningsson G, Kuehn DP, Sell D, Sweeney T, Trost-Cardamone JE, Whitehill TL. Universal parameters for reporting speech outcomes in individuals with cleft palate. Cleft Palate Craniofac J. 2008 Jan;45(1):1-7
25. S J Hassan, E A Weymuller Jr. Assessment of quality of life in head and neck cancer patients. Head neck. 1993 Nov;15(6):485-96.
26. Ayoub MR, Larrouy-Maestri P, Morsomme D. The effect of smoking on the fundamental frequency of the speaking voice. J Voice. 2019 Sep 1;33(5):802-e11
27. Vieira CA. Speech therapy in total glossectomy: case study. Rev soc bras fonoaudiol. 2011 Dec;16(4):479-82.
28. Kalfuss HW. Analysis of the Speech of the Glossectomee. Wayne State University; 1968.
29. Pauloski BR, Logemann JA, Rademaker AW, McConnel FM, Heiser MA, Cardinale S, Shedd D, Lewin J, Baker SR, Graner D, Cook B. Speech and swallowing function after anterior tongue and floor of mouth resection with distal flap reconstruction. J Speech Lang Hear Res. 1993 Apr;36(2):267-76
30. Burtet ML, Grando LJ, Mituuti CT. Swallowing and speech of patients submitted to glossectomy due to tongue cancer: cases report. Audiol Commun Res. 2020;25.
31. Kazi R, Johnson C, Prasad V, De Cordova J, Venkitaraman R, Nutting CM, Clarke P, Evans PR, Harrington KJ. Quality of life outcome measures following partial glossectomy: Assessment using the UW-QOL scale. J Cancer Res Ther. 2008 Jul 1;4(3):116.


Regular Issue Open Access Article
Volume 11
Issue 2
Received September 27, 2021
Accepted February 14, 2022
Published February 21, 2022