title: [Speech Ability and Psychological Outcome After Treatment of Oral Cancer].
abstract: BACKGROUND
  In recent years interactions between surgical treatment of oral carcinoma and incidence of anxiety or depression have become a subject of discussions. This prospective study is a comparison between the extent of loss of speech intelligibility and presence of depressive symptoms or anxiety as a result of oral carcinoma.
  
  
  METHODS
  One year after surgical therapy for oral carcinoma, 90 patients of an average age of 60±12 years were examined. Their speech intelligibility degree was measured using standardized automatic speech recognition (word recognition rate, WR). Symptoms of anxiety and depression were detected by use of HAD-Scales (HADS). Next to the relationship between WR and HADS other influential variables related to WR and HADS were statistically evaluated.
  
  
  RESULTS
  The WR average was 53.2±17.2. Female WR was better than male. The difference between tumor classifications T1 and T4 compared to the WR reached statistical significance. Significant differences were detected between WR and "tumor localization", "graft donor site", "graft morphology", "tongue motility", and "tracheostoma" groups. There was a relationship between tongue motility and graft morphology, graft donor site and tumor localization. HAD-Scores in the mean were elevated: HADS-Total=43.3%, HADS-A=43.3% und HADS-D= 51.1%. WR correlates with HADS-D-Subscale, but not with HADS-A-Subscale.
  
  
  CONCLUSIONS
  Communication disorders as a result of neoplasmic orofacial surgery may be related to extent of the treatment and to affective impairments. This should receive attention in the concept of rehabilitation.
authors.affiliation: Mund-, Kiefer- und Gesichtschirurgische Klinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen.
authors.forename: N
authors.initials: N
authors.lastname: Böhm
authors.affiliation: Mund-, Kiefer- und Gesichtschirurgische Klinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen.
authors.forename: C
authors.initials: C
authors.lastname: Knipfer
authors.affiliation: Lehrstuhl für Informatik 5 (Mustererkennung), Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen.
authors.forename: A
authors.initials: A
authors.lastname: Maier
authors.affiliation: Intel Corporation, Deutschland, Feldkirchen.
authors.forename: T
authors.initials: T
authors.lastname: Bocklet
authors.affiliation: Mund-, Kiefer- und Gesichtschirurgische Klinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen.
authors.forename: M
authors.initials: M
authors.lastname: Rohde
authors.affiliation: Mund-, Kiefer- und Gesichtschirurgische Klinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen.
authors.forename: F W
authors.initials: FW
authors.lastname: Neukam
authors.affiliation: Mund-, Kiefer- und Gesichtschirurgische Klinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen.
authors.forename: F
authors.initials: F
authors.lastname: Stelzle
authors.affiliation: Klinik für Hals-, Nasen- und Ohrenheilkunde, Klinikum der Universität München, München.
authors.forename: M
authors.initials: M
authors.lastname: Schuster
mesh_terms: D000368:Aged; D001007:Anxiety; D001008:Anxiety Disorders; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery*; D011446:Prospective Studies; D013065:Speech Intelligibility