Correlative Diagnosis of Functional Disorders in the Swallowing Pattern With Repiration Following Orthodontic Treatment in Subjects With Cleft Lip and Palate

我们在吞咽和呼吸方面有了更先进的新的功能分析系统。该系统由腭电图仪、流鼻音图仪和NEC计算机设备组成。1980年首次用腭电描记器对Ⅲ类受试者的舌吞咽模式进行研究，这一研究有其历史。然后，Ohkiba博士于1983年和1989年报告了唇腭裂（CLP）患者上颌牙弓扩张后的吞咽模式。下一次，我们开发了一个舌吞咽模式的诊断检查系统。本研究工作的目的是，我们希望在通过该系统进行客观功能评估后，为CLP受试者构建最有效的长期治疗方案。本研究通过正畸矫治，纠正儿童早期吞咽功能障碍伴呼吸功能障碍，使其向理想的生长方式转变，得出以下结论：1.替牙早期，用Quad helix矫治器扩缩上颌牙弓，使舌向鼻呼吸方向移动。2.下颌牙弓上佩戴舌槽对低位舌位患者更有效。通过该系统进行适当的吞咽训练，在最佳时间对CLP患者的吞咽与呼吸结合部疾病进行有效的矫正。

We have more developed new anallytic system of function in the swallowing with respiration. This system consist of electropalatograph, flow-nasality-graph and NEC computed apparatus. It had origin since 1980 that swallowing pattern of the tongue were first investigated in the class III subjects by electropalatograph. And then, Dr. Ohkiba reported on swallowing pattern following expansion of the maxillarly dental arch in subjects iwth cleft lip and palate (CLP), 1983 and 1989. The next time, we have developed an diagnostic examination system in the swallowing pattern of the tongue.It has the purpose of this research work that we would like to construct most efficient long - term treatment program in subjects with CLP following objective functional evaluation by this system. We correct functional disorders in the swallowing with respiration by orthodontic treatment at young age, so that they would change to desirable growth pattern.From the results obtained during this research, we arrived at the following conclusions : 1.They were expanded contracted maxillary arch by Quad helix appliance at early mixed dentition, so that their tongue moved to nose breathing. 2. It had more effective for low tongue posture wearing tongue crib on the mandibular dental arch. 3. The proper swallowing exercise by this system has furthermore effective correction for junctional disorders of the swallowing with respiration together myofunctional therapy at the best time in subjects with CLP.