Faculty of Medicine and Health, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia.
Medical Image Perception and Optimisation Group (MIOPeG), Discipline of Medical Imaging Science, Faculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Sydney, NSW, Australia.
J Med Radiat Sci. 2022 Jun;69(2):261-266. doi: 10.1002/jmrs.564. Epub 2022 Jan 4.
Patients with intellectual disabilities often fail to follow traditional tongue position instructions for panoramic radiographs resulting in missed pathology or unnecessary further radiation. This simple breathing technique is a new clinical instruction method for panoramic radiography developed to reduce the most common patient position error: patient failure to hold the tongue to the roof of the mouth. The technique is suitable for all patients including young patients and those with intellectual disabilities. The simple breathing technique uses 'tell-show-do' communication methods and does not mention the tongue but utilises the known tongue positions that occur during breathing and swallowing. This simple breathing technique instruction for panoramic radiography uses a demonstration of 'breathe-in, breathe-out, swallow, lips closed and hold still' to reduce the intensity of both the palatoglossal and pharyngeal airspaces on panoramic radiographs. This method, referred in this article as the simple breathing technique, can improve the diagnostic potential of panoramic radiographs and can be used with young children and patients with intellectual disabilities, and this slow breathing technique can help them further relax.
智障患者在拍摄全景片时，常常无法按照传统的舌位指示进行操作，导致漏诊或不必要的额外辐射。本研究提出了一种新的临床指导方法，即简单呼吸技术，用于减少最常见的患者体位错误：患者无法将舌头伸到上颚。该技术适用于所有患者，包括年轻患者和智障患者。简单呼吸技术使用“告知-示范-操作”的沟通方法，不提舌头，但利用呼吸和吞咽过程中已知的舌头位置。这种全景片拍摄的简单呼吸技术指导，通过演示“吸气、呼气、吞咽、闭唇、保持不动”来减少腭舌肌和咽腔空气间隙在全景片上的强度。本文中提到的这种简单呼吸技术可以提高全景片的诊断潜能，可用于年幼的儿童和智障患者，这种缓慢的呼吸技术可以帮助他们进一步放松。
