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

我们有了更发达的新的吞咽呼吸功能分析系统。该系统由心电图仪、鼻流图和NEC计算器组成。用舌电描记仪对III类受试者的吞咽模式进行研究始于1980年。然后，Ohkiba博士报告了1983和1989年唇腭裂(CLP)受试者上颌牙弓扩张后的吞咽模式。下一次，我们开发了一个吞咽模式的诊断性检查系统，本研究的目的是通过该系统的客观功能评估，构建最有效的CLP患者的长期治疗方案。我们通过正畸治疗，纠正了儿童早期吞咽与呼吸的功能障碍，使其发育为理想的生长模式。根据本研究的结果，我们得出以下结论：1.在混合牙列早期，四螺旋矫治器扩张收缩上颌弓，使其舌头移至鼻部呼吸。2.在下颌牙弓上佩戴舌床的低舌姿势效果更好。3.本系统正确的吞咽训练，对慢性阻塞性肺病患者的吞咽呼吸功能障碍有较好的矫治作用，并能在最佳时机配合肌功能治疗。

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.