Oral squamous cell carcinoma of the tongue
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Oral squamous cell carcinoma of the tongue : Prospective and objective speech evaluation of patients undergoing surgical therapy. / Riemann, Max; Knipfer, Christian; Rohde, Maximilian; Adler, Werner; Schuster, Maria; Noeth, Elmar; Oetter, Nico; Shams, Nima; Neukam, Friedrich-Wilhelm; Stelzle, Florian.
in: HEAD NECK-J SCI SPEC, Jahrgang 38, Nr. 7, 07.2016, S. 993-1001.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Oral squamous cell carcinoma of the tongue
T2 - Prospective and objective speech evaluation of patients undergoing surgical therapy
AU - Riemann, Max
AU - Knipfer, Christian
AU - Rohde, Maximilian
AU - Adler, Werner
AU - Schuster, Maria
AU - Noeth, Elmar
AU - Oetter, Nico
AU - Shams, Nima
AU - Neukam, Friedrich-Wilhelm
AU - Stelzle, Florian
N1 - © 2015 Wiley Periodicals, Inc.
PY - 2016/7
Y1 - 2016/7
N2 - BACKGROUND: Prospective speech intelligibility assessments lack objectivity in patients undergoing surgery for oral squamous cell carcinoma (OSCC) of the tongue.METHODS: Speech intelligibility was measured based on word recognition by means of an automatic and objective speech recognition system preoperatively, and 14 to 20 days, and 3 months, 6 months, and 12 months postoperatively. The study comprised 25 patients with OSCC of the tongue and a healthy control group (n = 40).RESULTS: Patients yielded significant speech impairments compared to the healthy control group both before surgery and after 12 months (p ≤ .002). The speech intelligibility of the patients decreased significantly 14 to 20 days after surgery (p < .001) but realigned to preoperative values after 12 months (p = .159). Preservation of the tip of the tongue resulted in significantly higher word recognition after 12 months (p = .007; Δword recognition = 16.29).CONCLUSION: Having OSSC of the tongue results in a significant impairment of speech intelligibility. The preservation of the tip of the tongue seems to be a central factor concerning the recovery of speech. © 2015 Wiley Periodicals, Inc. Head Neck 38: 993-1001, 2016.
AB - BACKGROUND: Prospective speech intelligibility assessments lack objectivity in patients undergoing surgery for oral squamous cell carcinoma (OSCC) of the tongue.METHODS: Speech intelligibility was measured based on word recognition by means of an automatic and objective speech recognition system preoperatively, and 14 to 20 days, and 3 months, 6 months, and 12 months postoperatively. The study comprised 25 patients with OSCC of the tongue and a healthy control group (n = 40).RESULTS: Patients yielded significant speech impairments compared to the healthy control group both before surgery and after 12 months (p ≤ .002). The speech intelligibility of the patients decreased significantly 14 to 20 days after surgery (p < .001) but realigned to preoperative values after 12 months (p = .159). Preservation of the tip of the tongue resulted in significantly higher word recognition after 12 months (p = .007; Δword recognition = 16.29).CONCLUSION: Having OSSC of the tongue results in a significant impairment of speech intelligibility. The preservation of the tip of the tongue seems to be a central factor concerning the recovery of speech. © 2015 Wiley Periodicals, Inc. Head Neck 38: 993-1001, 2016.
KW - Aged
KW - Aged, 80 and over
KW - Biopsy, Needle
KW - Carcinoma, Squamous Cell
KW - Case-Control Studies
KW - Databases, Factual
KW - Disease-Free Survival
KW - Female
KW - Germany
KW - Glossectomy
KW - Humans
KW - Immunohistochemistry
KW - Male
KW - Middle Aged
KW - Mouth Neoplasms
KW - Prognosis
KW - Prospective Studies
KW - Reconstructive Surgical Procedures
KW - Speech Intelligibility
KW - Statistics, Nonparametric
KW - Surgical Flaps
KW - Survival Analysis
KW - Tongue Neoplasms
KW - Journal Article
U2 - 10.1002/hed.23994
DO - 10.1002/hed.23994
M3 - SCORING: Journal article
C2 - 25546291
VL - 38
SP - 993
EP - 1001
JO - HEAD NECK-J SCI SPEC
JF - HEAD NECK-J SCI SPEC
SN - 1043-3074
IS - 7
ER -