Influence of craniofacial morphology on hyoid movement: a preliminary correlational study.

Influence of craniofacial morphology on hyoid movement: a preliminary correlational study.
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DOI:
10.1007/s00455-008-9176-x
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发表时间:
2009-03
期刊:
影响因子:
2.6
通讯作者:
Kuhlemeier, Keith V.
Kuhlemeier, Keith V.
中科院分区:
医学3区
文献类型:
--
作者:
Mays, Keith A.;Palmer, Jeffrey B.;Kuhlemeier, Keith V.

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很少有人注意到正常颅面形态变化与吞咽生理之间的关系。本初步研究评估了法兰克福下颌平面角(FMA)与吞咽时舌骨移位的关系。对12名健康受试者(年龄20 ~ 29岁,中位年龄23岁)在服用12ml和24ml液体钡时舌骨运动进行评估。采用横向投影显像。使用图像分析软件确定舌骨最大向前位移位置、最大向上位移位置、起始位置和结束位置。平均FMA为28.92°±4.08°(平均±SD,范围20 ~ 34)。Pearson相关性(≤0.05)显示舌骨前移位与FMA呈显著负相关(R=−)。68, P=0.015 (12 ml), R=−。72, P=0.009 (24 ml);因此FMA越大,舌骨前移越小。舌骨向上移位与12 ml (R= - 0.41, P=0.55)或24 ml燕子的FMA无显著相关(R=0.21, P=0.512)。此外,舌骨的起始和结束位置之间没有显著的相关性。总之,本初步研究的结果表明,由FMA测量的正常形态学变化可能影响舌骨运动,从而影响吞咽生理。
There has been little attention given to the relationship between variations in normal craniofacial morphology and swallowing physiology. This preliminary investigation evaluated the relationship between the Frankfort Mandibular Plane Angle (FMA) and hyoid displacement during swallowing. Hyoid movement was evaluated during 12-ml and 24-ml swallows of liquid barium in 12 healthy subjects (aged 20 to 29 years, median 23 years). Lateral projection videoflurography was utilized. Positions of the hyoid at maximum forward displacement, maximum upward displacement, start position, and ending position were determined using image analysis software. The mean FMA was 28.92° ± 4.08 o (mean ± SD, range 20 to 34). A Pearson Correlation (≤ 0.05) demonstrated that hyoid forward displacement was significantly inversely correlated with the FMA (R=−.68, P=0.015 (12-ml) and R=−.72, P=0.009 (24-ml); thus the greater the FMA, the smaller was the hyoid forward displacement. Upward displacement of the hyoid was not significantly correlated with FMA for 12-ml (R= −0.41, P=0.55) or 24-ml swallows (R=0.21, P=0.512). Additionally, there was no significant correlation between hyoid starting or ending positions. In conclusion, the results of this preliminary study suggest that normal variations in morphology, as measured by the FMA, may influence hyoid movement and therefore affect the swallowing physiology.
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发表时间: 2002-11-01
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