关键词: buccal mucosa oral cancer physical therapy rehabilitation tongue cancer transfemoral amputation

来  源:   DOI:10.7759/cureus.50435   PDF(Pubmed)

Abstract:
Oral cancer is a type of malignant neoplasia that develops in the oral cavity or lips and is commonly referred to as squamous cell carcinoma (SCC) because of its histopathology. In this report, we present to you a case of a 35-year-old male patient operated on for moderately differentiated SCC of the lateral border of the tongue and right buccal mucosa with a two-year-old case of trans-femoral amputation. Postoperatively, the patient faced issues with breathing, mouth opening and closing limitations, and painful movements of the neck and right shoulder. An intensive physiotherapy care regimen was designed and consistently implemented for two weeks to tackle the surgical results that were compromising the patient\'s quality of life. At the two-week evaluation, enhancements in tongue movement, mouth opening, shoulder and cervical joint movement, thoracic mobility, lower limb strength, and gait were seen, confirming the efficacy of the intended therapy. The patient was assessed before and after the rehabilitation using range of motion, manual muscle testing, the Mallampati scale, the numerical pain rating scale, the amputee mobility predictor assessment tool, and the Royapettah scoring system.
摘要:
口腔癌是一种在口腔或嘴唇中发展的恶性肿瘤,由于其组织病理学,通常被称为鳞状细胞癌(SCC)。在这份报告中,我们向您介绍一例35岁的男性患者,该患者因舌侧缘和右侧颊粘膜的中度分化SCC而接受手术,并伴有一例2岁的经股截肢。术后,病人面临呼吸问题,开口和闭合限制,颈部和右肩的疼痛运动。设计了强化理疗护理方案,并持续实施两周,以解决影响患者生活质量的手术结果。在为期两周的评估中,增强舌头的运动,张开嘴,肩颈关节运动,胸部活动度,下肢力量,步态被看到,确认预期治疗的疗效。患者在康复前后使用活动范围进行评估,手动肌肉测试,Mallampati量表,数字疼痛评定量表,截肢者移动性预测评估工具,和Royapettah评分系统.
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