Oral Function After Oncological Intervention in the Oral Cavity: A Retrospective Study
Abstract
Purpose To assess self-perceived oral function of patients with oral cavity cancer at different stages of treatment, ie, before oncologic intervention, 5 weeks after intervention, and 5 years after intervention.Patients and methods A cohort of 158 patients with malignancy in the oral cavity treated by surgery in 1999 or 2000 was included. From this cohort we interviewed 69 patients by telephone in 2005 and collected data on dental status, disorders of chewing and swallowing, xerostomia, preference of food consistency, tube nutrition, weight loss, and speech for different stages of treatment.Results For patients treated in the maxilla region we observed a significant (P < .05) recovery of perceived chewing ability after 5 years to the level experienced before oncologic intervention. Patients treated in the mandible region reported a deteriorated dental state, chewing ability, lip competence, and xerostomia after 5 years. Patients treated in the tongue and mouth-floor region experienced deterioration for dental state, chewing ability, and xerostomia after 5 years compared with the level before the oncologic intervention.Conclusions Our telephone interview on oral function provided supplementary information on how patients experienced their problems with oral function during various phases of oncologic treatment. A retrospective interview may thus help to add information to incomplete retrospective data.
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Following maxillary ablation, there is often a functional or non-functional compensation of upper to lower lip interaction and lip competence, which may severely limit any dental rehabilitation protocol; additionally, radiation, immunotherapy and/or chemotherapy may present additional challenges to reconstruction.
“Following maxillary ablation, there is often a functional or non-functional compensation of upper to lower lip interaction and lip competence, which may severely limit any dental rehabilitation protocol; additionally, radiation, immunotherapy and/or chemotherapy may present additional challenges to reconstruction [12].”
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“…there is often a functional or non-functional compensation of upper to lower lip interaction and lip competence, which may severely limit any dental rehabilitation protocol; additionally, radiation, immunotherapy and/or chemotherapy may present additional challenges to reconstruction [12].”
- Authors
- Speksnijder, C. M., van der Glas, H. W., van der Bilt, A., van Es, R. J. J., van der Rijt, E., & Koole, R.
- Affiliations
- University Medical Center Utrecht (NL)
- Corresponding author
- Speksnijder, Caroline M.
- Venue
- Journal of Oral and Maxillofacial Surgery
- Publisher
- Elsevier BV
- Published
- 2010-06
- Volume
- 68
- Issue
- 6
- Pages
- 1231-1237
- ISSN
- 0278-2391 (ISSN-L)
- OpenAlex
- W2052372567
- Cited by
- 50
- References
- 38
- Citations by year
- 2025: 4 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 8 · 2017: 1 · 2016: 3 · 2015: 4 · 2014: 4 · 2013: 6 · 2012: 3
- FWCI
- 3.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Oral and Maxillofacial Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Oral health in cancer treatment
- Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
- Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
- Keywords
- oral function, oral cancer, chewing ability, dysphagia, xerostomia, dental status, tube feeding, weight loss, speech, maxillary surgery, mandibular surgery, tongue cancer, long-term outcomes
- MeSH terms
- Aged, Deglutition, Facial Pain, Female, Follow-Up Studies, Humans, Interviews as Topic, Jaw Neoplasms, Lip, Male, Mastication, Middle Aged, Mouth Neoplasms, Neoplasm Staging, Nutritional Status, Retrospective Studies, Speech, Telephone, Xerostomia, Weight Loss, Chi-Square Distribution, Tooth Loss, Statistics, Nonparametric, Recovery of Function
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