扁桃体肥大患儿的咀嚼和吞咽变化。
Mastication and deglutition changes in children with tonsillar hypertrophy.
机构信息
Department of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto-SP, Brazil.
出版信息
Braz J Otorhinolaryngol. 2013 Aug;79(4):424-8. doi: 10.5935/1808-8694.20130076.
UNLABELLED
The changes in mastication and deglutition in children with adenotonsillar hypertrophy need to be better characterized.
OBJECTIVE
To evaluate the frequency of parent-reported myofunctional changes and to determine if there are differences in the alteration patterns of children with adenotonsillar hypertrophy and subjects with adenoid hypertrophy.
METHOD
Questionnaire and assessment by a speech therapist of children aged between three and six years with tonsillar hypertrophy. The data reported by the parents were compared to the data obtained from the speech therapist's evaluation; additionally, data from children with adenotonsillar hypertrophy were compared to findings from subjects with adenoid hypertrophy.
STUDY DESIGN
cross-sectional cohort.
RESULTS
The myofunctional changes observed by the speech therapist were more frequent than the alterations reported by the parents, and there was no correlation between the two findings. The children with adenoid hypertrophy and the individuals with adenotonsillar hypertrophy had the same pattern of myofunctional alteration.
CONCLUSION
Parents cannot clearly correlate tonsillar hypertrophy with changes in mastication and deglutition. The cause of the respiratory obstruction does not seem to interfere in the pattern of myofunctional change.
目的
评估父母报告的肌肉功能变化的频率，并确定腺样体肥大儿童与腺样体肥大患者的改变模式是否存在差异。
方法
对年龄在 3 至 6 岁之间的有扁桃体肥大的儿童进行问卷调查和言语治疗师评估。将父母报告的数据与言语治疗师评估的数据进行比较；此外，还比较了腺样体肥大儿童与腺样体肥大患者的发现。
研究设计
横断面队列研究。
结果
言语治疗师观察到的肌肉功能变化比父母报告的改变更频繁，而且这两种发现之间没有相关性。腺样体肥大儿童和腺样体肥大患者的肌肉功能改变模式相同。
结论
父母不能清楚地将扁桃体肥大与咀嚼和吞咽功能的变化联系起来。呼吸阻塞的原因似乎不会干扰肌肉功能改变的模式。
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