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Basic investigation about relationship between Ankyloglossia with Deviation of the Epiglottis and Larynx and Sudden Death Infant syndrome(SIDS)

会厌喉偏位强舌症与婴儿猝死综合征（SIDS）关系的基础研究

基本信息

批准号：
16590548
负责人：
YAMAMOTO Isao
金额：
$ 1.79万
依托单位：
Kanagawa Dental College
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2004
资助国家：
日本
起止时间：
2004 至 2005
项目状态：
已结题

项目摘要

Anterosuperior deviation of the tongue, epiglottis and larynx increases the resistance of the upper airway, causing respiratory or sleeping disturbances that can be seen from neonates to adults. Correction of the glosso-larynx (CGL) by separating the frenulum linguae and a part of the genioglossus muscle reduces the airway resistance and improves respiration. Monitoring of tissue blood oxygen saturation (StO_2) during CGL showed increased of StO_2 starting in the middle of operation. Comparison of pre and post operation cephalometric radiographs and head CT images showed that after the operation, the larynx was displaced inferiorly and the hyoid bone was displaced anteroinferiorly, while the width at the narrowest part, the cross-sectional area, and the volume of the hypopharynx were increased.Twenty-six cases of Sudden Infant Death Syndrome (SIDS) were investigated with regard to symptoms of Ankyloglossia with Deviation of the Epiglottis and Larynx(ADEL). Questions about the following … More points were asked of the bereaved family members :1.The attachment of the tongue.2.Several symptoms of ADEL, such as whether the cases had difficulty falling asleep, whether they had dakiguse, i.e., they wanted to be always in someone's arms and did not stop crying until they were held by somebody, and whether the cases had a tendency to sleep with the head in one direction.3.When the cases began turning in bed.The results were as follows : 91.3% had severe ankyloglossia, 75.0% had difficulty falling asleep, 62.5% had dakiguse and 62.5% had a tendency to sleep with the head in one direction. These items were present at a higher rate than that seen in normal babies. Although sixteen cases(61.5%) were found in the prone position, 11 (84.6%) confirmed that their final sleeping position was supine. The average age of these cases was five months old.Severe ankyloglossia, several symptoms of ADEL, such as difficulty falling asleep, dakiguse, and sleeping with the head in one direction, and beginning to turn in bed at an early age suggested a higher possibility of SIDS. Less

舌、会厌和喉的前上偏斜增加了上呼吸道的阻力，引起呼吸或睡眠障碍，从新生儿到成人都可以看到。通过分离舌系带和部分颏舌肌来矫正舌喉（CGL），可降低气道阻力并改善呼吸。术中监测组织血氧饱和度（StO_2），术中StO_2开始升高。术前、术后X线头影测量与头颅CT对比显示，术后喉向前方移位，舌骨向前方移位，26例婴儿猝死综合征（SIDS）患儿的临床资料分析研究了关于舌强直伴会厌和喉偏斜（阿德尔）的症状。关于以下内容的问题 ...更多信息询问死者家属：1.舌头的附着。2.阿德尔的几种症状，如患者是否入睡困难，是否有dakiguse，即，是否有头朝一个方向睡觉的倾向。3.当病人开始在床上翻身时，结果如下：91.3%的患者有严重的舌系带过短，75.0%的患者有入睡困难，62.5%的患者有低头睡的习惯，62.5%的患者有单头睡的习惯。这些项目的出现率高于正常婴儿。虽然16例（61.5%）被发现是俯卧位，11例（84.6%）证实他们最终的睡眠姿势是仰卧位。这些病例的平均年龄为5个月，严重的舌系带过短，阿德尔的几种症状，如入睡困难，dakiguse，和头朝一个方向睡觉，并在很小的时候就开始在床上翻身，这表明SIDS的可能性很高。少

项目成果

期刊论文数量（20）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Possibilities of prevention of the child abuse and of release from stress of childcare by correction of the glosso-larynx.

通过舌喉矫正可以预防虐待儿童并缓解育儿压力。

DOI：
发表时间：
2004
期刊：
The Bulletin of Kanagawa Dental College 32
影响因子：
0
作者：
Yamamoto;I.;Yamada;Y.;Ohira;H.;Ohtani;S.
通讯作者：
S.

Risk Factors of the Sudden Infant Death Syndrome -Relationship to Ankyloglossia with Deviation of the Epiglottis and Larynx.

婴儿猝死综合症的危险因素 - 与会厌和喉部偏斜的舌强直的关系。

DOI：
发表时间：
2006
期刊：
The Bulletin of Kanagawa Dental College vol.34, No.2(in printing)
影响因子：
0
作者：
Yamamoto;I.;Yamada;Y.;Ohira H.
通讯作者：
Ohira H.

Possibilities of prevention of the child abuse and release from of childcare by correction of the glosso-larynx

通过舌喉矫正预防虐待儿童和脱离儿童保育的可能性

DOI：
发表时间：
2004
期刊：
The Bulletin of Kanagawa Dental College 32・2
影响因子：
0
作者：
Isao Yamamoto;Yamada Y.;Ohira H.;Ohtani S.
通讯作者：
Ohtani S.

Possibilities of prevention of the child abuse and of release from stress of childcare by correction of the glosso-larynx

通过舌喉矫正预防虐待儿童和缓解育儿压力的可能性

DOI：
发表时间：
2004
期刊：
The Bulletin of Kanagawa Dental College 32・2
影响因子：
0
作者：
Yamamoto;I.;Yamada;Y.;Ohira;H.;Ohtani;S.;H.Ohtaki;Nishio H.et al.;Isao Yamamoto
通讯作者：
Isao Yamamoto

Risk Factors of the Sudden Infant Death Syndrome--Relationship to Anykyloglossia with Deviation of the Epiglottis and Larynx.

婴儿猝死综合症的危险因素——与会厌和喉部偏离的舌断症的关系。