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

本研究旨在策划建立以系统化和言语康复为中心的康复入社会方案，对老年人和因神经、中风等肌肉系统疾病，以及近年来获得不断增长的衰老功能后坠落的口腔癌等肌肉系统疾病患者，采用腭图治疗方法进行言语康复。研究内容：舌头不仅有言语障碍，而且对切除一半以上的患者也有吞咽困难的困难。舌附着式修复体安装后，用Paratgraph的方法为5年以上的患者再次制作上颌修复牙，并对每个腭部的形态和剩余舌的调节情况进行比较和检查。在安装舌面附着式修复体后，上颌人工牙被制作成…对于5年以上的患者，再次使用腭图的方法，并比较和检查每个腭部的形状和剩余舌体的调制。结果，清楚了以下几点。1)舌面附着型假体在切除一半以上舌体的患者中，除显示左右不对称形态外，还可看到陶制砂浆形态。2)对于5年或5年以上新安装的舌附着式修复体，与第一代假牙相比，腭部相对增厚的趋势被观察到。3)舌附式假体能有效地改善患者的吞咽困难和吞咽困难。4)大量的腭图显示左右不对称，与腭部形态吻合较好，因此认为口腔的作用较大，训练和腭图评价方法对吞咽困难等功能障碍也是有效的。

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