Hanson G E, Ogle R G, Giron L
Crit Care Med. 1975 Sep-Oct;3(5):200-3. doi: 10.1097/00003246-197509000-00007.
This paper presents the need for and offers a solution to the problem of factitial tongue and other intra-oral injuries in comatose and decerebrate patients. The neurophysiology of jaw movement in the comatose patient is the basis for the design of an intraoral prosthesis which in two patients has prevented discoordinate mandibular chewing movements and facilitated healing of preexisting factitial lesions. The authors delineate in detail the fabrication, insertion, and maintenance of this protective prosthesis and emphasize the need for joint effort between the intensive care, neurosurgical, and oral surgical teams.
本文提出了昏迷和去大脑状态患者人为造成的舌部及其他口腔内损伤问题的必要性及解决方案。昏迷患者下颌运动的神经生理学是一种口腔内假体设计的基础，该假体在两名患者中防止了不协调的下颌咀嚼运动，并促进了先前人为造成的损伤的愈合。作者详细描述了这种保护性假体的制作、插入和维护，并强调了重症监护、神经外科和口腔外科团队之间共同努力的必要性。
