Systematization and the rehabilitation of lingually attached prosthesis fabrication for glossectomies using palatography

本研究的目的是制定以老年人和中途困难患者的系统化和语言康复为中心的社会康复计划，该计划针对老年人和因神经、中风等肌肉系统疾病、舌癌等口腔癌等近年来获得了日益老化的功能而出现的中途困难患者，使用腭图治疗方法进行系统化和言语康复。切除超过半边。舌侧修复体安装完毕后，对于五年以上的患者，采用 Paratogram 的方法再次制作上颌义齿，并对各腭的形态和剩余舌头的调节进行比较和检查。安装完舌侧修复体后，使用腭图的方法，为五年以上的患者再次制作上颌假牙，并比较和检查每个腭的形状和剩余舌头的调制，结果清楚了以下内容。 1)对于切除了半边以上的患者，安装了舌头的舌侧假体的上颚形状除了左右不对称形状之外，还出现了呈现陶臼形状的人。 2)对于五年或更长时间后新安装的舌侧附着修复体的形状，与第一颗人工牙腭的形状相比，观察到腭相对变厚的趋势。 3)舌侧修复体对改善灌胃及吞咽困难有效。 4) 腭图显示左右不对称的较多，且与腭形态对应良好。因此，承认口腔的作用很大，并且通过腭图进行训练和评价方法对于吞咽困难等功能障碍也有效。 少

This research aimed and planned the establishment of the program for the rehabilitation into society that centered on systematization and the speech rehabilitation of the treatment method that used palatogram to the senior citizen and the midway trouble patient due to a nerve, a muscle system disease such as apoplexies, and cancer of oral cavity such as tongue cancers that fell after having acquired the function that kept increasing aging in recent years.The content of the research : the tongue with the trouble for not only speech but also gavage and swallowing difficulty for the patient who excises more than a half side. After the lingually attached prosthesis is installed, the upper jaw artificial tooth is made again for the patient who passes five years or more by the method of using Paratogram, and the form of each palate and the modulation of the remaining tongue are compared and examined. After the lingually attached prosthesis is installed, the maxillary artificial tooth is made … More again for the patient who passes five years or more by the method of using Palatogram, and the form of each palate and the modulation of the remaining tongue are compared and examinedAs a result, it became clear the following. 1)As for the palate form of the lingually attached prosthesis that had installed the tongue in the patient who excised more than a half side, the person who showed an earthenware mortar form in addition to a right and left asymmetric form was seen, too. 2)As for the form of the lingually attached prosthesis that had been newly installed after five years or more had passed, the tendency that the palate relatively becomes thick was observed compared with the form of the first artificial tooth palate. 3)The lingually attached prosthesis was effective to the improvement of gavage and the swallowing difficulty. 4)There were a lot of palatogram that showed right and left asymmetry, and they corresponded to the palate form well.Therefore, it was admitted that the role of the mouth was large, and training and the evaluation method by palatogram were moreover effective for the functional disorder of the swallowing difficulty etc. Less