腭板增植体对口腔癌患者舌压和吞咽困难的影响。
Changes in tongue pressure and dysphagia at oral cancer patients by palatal augmentation prosthesis.
机构信息
Maxillofacial Prosthetics Clinic, Tohoku University Hospital, Sendai, Japan.
Department of Otolaryngology and Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
出版信息
Cancer Rep (Hoboken). 2022 Jul;5(7):e1516. doi: 10.1002/cnr2.1516. Epub 2021 Sep 2.
BACKGROUND
The palatal augmentation prosthesis (PAP) is an intraoral prosthesis used in the treatment of dysphagia.
AIM
The objective of the study is to examine the effect of PAP using tongue pressure and the Videofluoroscopic Dysphagia Scale (VDS) to understand the precise mechanism for improvement in swallowing function with PAP for oral cancer at retrospective survey.
METHODS AND RESULTS
Fifteen patients were provided PAPs. Tongue pressure and VDS were evaluated with and without PAP. After intervention with PAP, tongue pressure significantly increased as compared to when without PAP (p < .05). The total mean VDS score with PAP was found to have significantly improved (p < .05). The mean VDS score of the oral phase also significantly improved with the PAP compared to without the PAP group (p < .05). Significant differences (p < .01) were found in each category, such as tongue to palate contact and pyriform sinus residue.
CONCLUSION
PAP can improve tongue pressure, tongue to palate contact, and pyriform sinus residue.
背景
腭部增宽假体（PAP）是一种用于治疗吞咽困难的口腔内假体。
目的
本研究旨在通过舌压和视频透视吞咽障碍量表（VDS）来检查 PAP 的效果，以从回顾性调查中了解 PAP 对口腔癌患者吞咽功能改善的确切机制。
方法和结果
为 15 名患者提供了 PAP。评估了有和没有 PAP 时的舌压和 VDS。与没有 PAP 相比，干预后 PAP 时的舌压显著增加（p<.05）。发现使用 PAP 后的总平均 VDS 评分显著改善（p<.05）。与没有 PAP 组相比，PAP 时口腔相的平均 VDS 评分也显著改善（p<.05）。在舌与上腭接触和梨状窦残留等各个类别中都发现了显著差异（p<.01）。
结论
PAP 可改善舌压、舌与上腭接触和梨状窦残留。
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