ANALYSIS OF TONGUE MOVEMENT TROUBLE IN PATIENTS WITH DYSPHAGIA

本研究旨在分析吞咽障碍患者舌运动障碍的原因。* 为了研究舌在咀嚼和吞咽中的作用，我院配备了数字视频荧光成像（VF）系统。由于我们对VF系统进行了一系列的改进，使患者在第二水平X射线照射下能够轻松地定位头部，因此VF系统已成为一种有用的工具。使用该系统对舌运动异常患者进行视觉分析是有效的。1.咀嚼时习惯性的舌位回缩是导致下颌全口义齿低全口义齿的原因之一，经诊断后制定了舌位训练计划，并取得了良好的效果，下颌全口义齿稳定性良好.腭部整形修复体用于上半部分义齿改善了因口底癌而要求B* 舌和下颌骨部分切除的吞咽困难。诊断为吞咽困难是由咬起引起的。咬合垂直距离过大，达不到pa*3。全舌切除术和下颌骨切除术后，患者强烈要求以某种方式或其他方式通过假体代替舌头和牙齿来咀嚼食物。咀嚼系统受损严重的是舌而不是牙齿，提示VF成像分析可用于临床评估咀嚼和吞咽功能。

The purpose of this study was to analyze trouble of tongue movement in patient with dysphagia. * digital videofluorography (VF) in order to investigate the role of tongue for mastication and swallo* VF that equipped in our hospital had become a useful tool because of series of our modifications of allowed a relaxed posture for the patient and easy orientation of the patient's head under the cond* level X-ray exposure.Visual analyzes using this system were effective clinically in patients with tongue movement tr*1.The habitual retracted tongue position during mastication was a cause of lower complete den* After this diagnosis the training program was made for tongue position and was successful* stability of the lower denture.2. The palatal reshaping prosthesis for the upper partial denture improved the dysphagia claimed b* partial excision of the tongue and mandible due to oral floor cancer. The diagnosis was th* dysphagia was caused by bite-raising. The occlusal vertical dimension was too great to reach pa*3. After total glossectomy and mandibulectomy a patient's strong demand to masticate food by himsel* somehow or other by the prosthesis as a substitute for tongue and teeth. The mastication system was damaged severely by rather loss of tongue than loss of teeth.These results suggested that VF imaging analysis was clinically available to evaluate t* mastication and swallowing.