Cited by 50Oral health in cancer treatmentHead and Neck Cancer StudiesDysphagia Assessment and Management

Oral Function After Oncological Intervention in the Oral Cavity: A Retrospective Study

Speksnijder, Caroline M., van der Glas, Hilbert W., van der Bilt, Andries, van Es, Robert J.J., van der Rijt, Esther, Koole, Ron·2010·Journal of Oral and Maxillofacial Surgery

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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Crossref · 10.1016/j.joms.2009.09.016

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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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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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