Effects of voluntary maneuvers on tongue base function for swallowing

Effects of voluntary maneuvers on tongue base function for swallowing
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DOI:
10.1159/000063192
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发表时间:
2002-07-01
影响因子:
1
通讯作者:
Kahrilas, PJ
Kahrilas, PJ
中科院分区:
医学4区
文献类型:
--
作者:
Lazarus, C;Logemann, JA;Kahrilas, PJ

文献摘要

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对3名头颈癌患者在吞咽过程中的舌根功能进行了同步测压和视频荧光透视检查。指导受试者进行四种自主吞咽动作,包括超上声门吞咽、用力吞咽、门德尔松动作和舌保持动作。记录舌根 - 咽壁水平的导管峰值压力(毫米汞柱),并测量每次吞咽时舌根与咽壁接触的持续时间。这项初步研究显示,使用这些动作时,舌根 - 咽壁压力和接触持续时间会增加。提供了初步数据以支持使用吞咽动作来改善存在此障碍的患者在吞咽过程中舌根的向后运动以及舌根 - 咽壁水平产生的压力。版权所有 (C) 2002 S. Karger AG,巴塞尔。
Concurrent manometry and videofluoroscopy were utilized to examine tongue base function during swallowing in 3 patients with head and neck cancer. Subjects were instructed in four voluntary swallow maneuvers, including the supersupraglottic swallow, effortful swallow, Mendelsohn maneuver, and tongue-hold maneuver. Peak catheter pressures (mm Hg) at the tongue base-pharyngeal wall level were recorded and duration of tongue base to pharyngeal wall contact was measured for each swallow. This pilot study revealed that tongue base-pharyngeal wall pressures and contact duration increased with use of maneuvers. Preliminary data are provided to support the use of swallow maneuvers to improve tongue base posterior motion and pressures generated at the tongue base-pharyngeal wall level during swallowing in patients who exhibit this disorder. Copyright (C) 2002 S. Karger AG, Basel.