大突起患者下和吞的生理功能在下突起后的患者下突起
Masato Kaku1, Haruka Kagawa2, Taeko Yamamoto2
1Division of Oral Health Sciences, Department of Anatomy and Functional Restorations, Hiroshima University Graduate School of Biomedical and Health Sciences.
The Journal of craniofacial surgery
|June 23, 2023
概括
在骨突起患者的吞过程中,骨骨切割手术 (Sagittal split ramus osteotomy,简称SSRO) 改善了舌头与的接触. 这种整形手术也缩短了喉阶段的持续时间,增强了吞功能.
科学领域:
- 口腔和牙面部外科手术
- 吞生理学的吞生理学
- 生物力学 生物力学
背景情况:
- 骨大突起可以影响舌头的姿势和吞机制.
- 斜裂骨骨架骨切除术 (SSRO) 是一种用于纠正下位置的手术程序.
- 了解SSRO对吞功能的影响对于患者的治疗结果至关重要.
研究的目的:
- 为了评估在SSRO后的吞过程中舌接触模式的变化,大突起的患者.
- 评估SSRO对不同吞阶段持续时间的影响.
- 为了将手术变化与吞功能的改善相关联.
主要方法:
- 电平拉图 (EPG) 用于测量15名大突起患者和10名对照患者的舌头-大接触.
- 在SSRO之前和3个月后收集了EPG数据.
- 分析包括特定部区域的电极接触数和吞阶段持续时间.
主要成果:
- 与对照组相比,手术前的患者表现出明显较少的舌接触.
- 手术后的患者在吞过程中表现出更好的垂体接触.
- 在手术前的患者中,吞的喉阶段明显更长,在SSRO后缩短.
结论:
- 整形手术,特别是SSRO,在吞过程中积极改变舌头 - 板接触模式.
- SSRO导致喉阶段持续时间显著减少,表明吞效率有所提高.
- 在整形手术后下位置的变化可以优化舌头的姿势和运动,以更好地吞.
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