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首页> 外文期刊>Journal of oral rehabilitation >Evaluation of swallowing ability using swallowing sounds in maxillectomy patients
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Evaluation of swallowing ability using swallowing sounds in maxillectomy patients

机译：颌骨切除术患者吞咽声音的吞咽能力评估

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摘要

Summary Maxillectomy for oral tumours often results in debilitating oral hypofunction, which markedly decreases quality of life. Dysphagia, in particular, is one of the most serious problems following maxillectomy. This study used swallowing sounds as a simple evaluation method to evaluate swallowing ability in maxillectomy patients with and without their obturator prosthesis placed. Twenty‐seven maxillectomy patients (15 men, 12 women; mean age 66.0?±?12.1?years) and 30 healthy controls (14 men, 16 women; mean age 44.9?±?21.3?years) were recruited for this study. Participants were asked to swallow 4?mL of water, and swallowing sounds were recorded using a throat microphone. Duration of the acoustic signal and duration of peak intensity (DPI) were measured. Duration of peak intensity was significantly longer in maxillectomy patients without their obturator than with it ( P? ? .05) and was significantly longer in maxillectomy patients without their obturator than in healthy controls ( P? ? .025 after Bonferroni correction). With the obturator placed, DPI was significantly longer in maxillectomy patients who had undergone soft palate resection than in those who had not ( P? ? .05). These results suggest swallowing ability in maxillectomy patients could be improved by wearing an obturator prosthesis, particularly during the oral stage. However, it is difficult to improve the oral stage of swallowing in patients who have undergone soft palate resection even with obturator placement.
机译：摘要口腔肿瘤的上颌骨切除术通常会导致口腔功能减退，从而显著降低生活质量。尤其是吞咽困难，是上颌骨切除术后最严重的问题之一。本研究将吞咽音作为一种简单的评估方法来评估上颌骨切除术患者在放置和不放置闭孔假体的情况下的吞咽能力。本研究招募了27名上颌骨切除术患者（15名男性，12名女性；平均年龄66.0±12.1岁）和30名健康对照者（14名男性，16名女性；平均年龄44.9±21.3岁）。参与者被要求吞下4？用喉部扩音器记录每毫升水和吞咽声。测量声信号持续时间和峰值强度持续时间（DPI）。无闭孔上颌骨切除术患者的峰值强度持续时间显著长于有闭孔上颌骨切除术患者（P？；0.05），无闭孔上颌骨切除术患者的峰值强度持续时间显著长于健康对照组（Bonferroni矫正后P？；0.025）。放置闭孔器后，接受软腭切除术的上颌骨切除患者的DPI显著长于未接受软腭切除术的患者（P？；0.05）。这些结果表明，上颌骨切除术患者的吞咽能力可以通过佩戴闭孔假体来改善，尤其是在口腔阶段。然而，在软腭切除术患者中，即使放置闭孔器，也很难改善吞咽的口腔阶段。

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  • 来源
    《Journal of oral rehabilitation》 |2018年第2期|共6页
  • 作者

    Kamiyanagi A.; Sumita Y.; Ino S.; Chikai M.; Nakane A.; Tohara H.; Minakuchi S.; Seki Y.; Endo H.; Taniguchi H.;

  • 作者单位

    Department of Maxillofacial ProstheticsTokyo Medical and Dental University (TMDU)Tokyo Japan;

    Department of Maxillofacial ProstheticsTokyo Medical and Dental University (TMDU)Tokyo Japan;

    Human Informatics Research InstituteNational Institute of Advanced Industrial Science and;

    Human Informatics Research InstituteNational Institute of Advanced Industrial Science and;

    Department of Gerodontology and Oral RehabilitationTokyo Medical and Dental University (TMDU)Tokyo;

    Department of Gerodontology and Oral RehabilitationTokyo Medical and Dental University (TMDU)Tokyo;

    Department of Gerodontology and Oral RehabilitationTokyo Medical and Dental University (TMDU)Tokyo;

    Human Informatics Research InstituteNational Institute of Advanced Industrial Science and;

    Human Informatics Research InstituteNational Institute of Advanced Industrial Science and;

    Department of Maxillofacial ProstheticsTokyo Medical and Dental University (TMDU)Tokyo Japan;

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  • 正文语种 eng
  • 中图分类 口腔科学;
  • 关键词

    deglutition; deglutition disorders; head and neck neoplasms; maxillary neoplasms; maxillofacial prosthesis; palatal obturators;

    机译：吞咽;吞咽障碍;头颈部肿瘤;上颌肿瘤;颌面部假体;腭闭孔器;

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