Ekberg O, Hillarp B
Acta Radiol Diagn (Stockh). 1986 Sep-Oct;27(5):533-7. doi: 10.1177/028418518602700508.
The oral stage of swallowing was radiologically evaluated in 19 patients with swallowing complaints. Eight patients had had surgical resection and reconstruction due to tumours of the tongue, floor of the mouth or mandible. Eleven patients had suffered from cerebrovascular disease. All patients had incoordination of tongue movements including defective initiation of pharyngeal swallow. In patients who had undergone surgical resection, oral dysfunction correlated with the extension of resection as well as type of reconstruction, and was more profound compared with the disorder present in patients with cerebrovascular disease. Moreover, muscular derangement due to surgery of the floor of the mouth interfered with the elevation of the hyoid bone, larynx and pharynx and thereby the pharyngeal stage of swallowing also became abnormal. Cineradiography seems to be an appropriate method for evaluation of the oral stage of swallowing in patients with deglutition complaints.
对19例有吞咽主诉的患者进行了吞咽口腔期的放射学评估。8例患者因舌、口底或下颌骨肿瘤接受了手术切除和重建。11例患者患有脑血管疾病。所有患者均存在舌运动不协调，包括咽吞咽起始缺陷。在接受手术切除的患者中，口腔功能障碍与切除范围以及重建类型相关，并且与脑血管疾病患者相比更为严重。此外，口底手术导致的肌肉紊乱干扰了舌骨、喉和咽的抬高，从而吞咽的咽部期也变得异常。动态放射成像似乎是评估有吞咽主诉患者吞咽口腔期的一种合适方法。
