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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Tongue function and its influence on masticatory performance in patients treated for oral cancer: a five-year prospective study
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Tongue function and its influence on masticatory performance in patients treated for oral cancer: a five-year prospective study

机译：口腔癌治疗患者对咀嚼性能的舌函数及其影响：五年前瞻性研究

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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.
机译：目的本研究的目的是观察口腔肿瘤治疗的影响，包括恢复几种舌函数（力，流动性和感官功能），并确定这些功能对咀嚼性能的影响。在123例口腔癌患者中确定了材料和方法咀嚼性能和舌力，迁移率和感官功能。治疗前4周进行评估，治疗4至6个月，1年，治疗后5年。进行广义估计方程和混合模型分析，校正先前鉴定的相同群体的因素。结果下颌骨和舌和口腔肿瘤患者，观察到舌迁移率和感官功能显着恶化。更好的舌力和感官功能（热和触觉）积极影响咀嚼性能，并且这种效果更强，其中存在较少的咬合单位。与患者的患者相比，舌力和最大咬伤力的效果较弱，与患者患者相比。开发了一种基于网络的应用程序，使读者能够探讨我们的结果，并在混合模型中发现因子之间的相干性提供洞察。结论口腔肿瘤治疗后舌函恶化，没有统计上显着的恢复。足够的咬伤和舌部队对假肢差的患者尤为重要。感觉舌函数的患者特别受益于更多闭塞对的情况。

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