Interdisciplinary treatment and rehabilitation based on the point electrostimulation in the patient with hemangioma mass on the floor of the oral cavity
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Tongue hemangiomas usually originate from the vascular system. They are spherical in shape and often result in a significant mass increase and swelling of the tissues in the vicinity of the lips (the so-called cavernous angioma) or the gums and tongue (the so-called vascular granuloma). The hemangiomas in the area of the oral cavity often cause the swelling of the neighboring tissues what makes it difficult to talk, swallow, take and chew food. The conservative treatment is associated with removal of a lesion. The surgical treatment should be preceded by vascular diagnostics (arteriography) that helps to assess the extent and intensity of tumor vasculature. The arterial tumor with rich vascularization is treated by the endovascular embolization of the vessels feeding to tumor. The embolization is performed among other things to reduce bleeding during surgery Generation of voiced speech in changed anatomical conditions requires searching for new, substitute places of articulation. It is not easy due to the fact that many tissues have been deformed after the surgery (including partial glossectomy). The decision about how to conduct speech rehabilitation is made with help of, for example, linguograms. The most important in the early phase of the rehabilitation is to initiate the functions of the reflex arc by, among others, stimulation or induced contraction of the muscles involved in the act of swallowing and speech. In the case of this patient, the rehabilitation was performed with methods of point electrostimulation. The use of point electrostimulator contributed to shorter necessary time with the gastroesophageal tube and, thus, gave the possibility of self-feeding to the patient and resulted in a more efficient rehabilitation of active speech.
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