ANALYSIS OF TONGUE MOVEMENT TROUBLE IN PATIENTS WITH DYSPHAGIA

本研究的目的是分析吞咽困难患者的舌动障碍。*数字电视透视(VF)，以探讨舌头在咀嚼和闭锁中的作用*由于我们对第二级X光照射下允许患者放松的姿势和患者头部的容易定位进行了一系列的改进，使VF成为一种有用的工具。该系统在临床上对舌动患者进行了有效的视觉分析。1.咀嚼时习惯性的舌位回缩是导致完全性凹陷较低的原因。在诊断后，针对舌位制定了训练方案，并成功地*稳定了下牙列。上颌部分义齿的腭部重塑修复改善了因口腔底癌而导致的吞咽困难，即舌和下颌骨部分切除。诊断为吞咽困难是由咬合抬高引起的。牙合垂直尺寸太大，达不到pa*3。全舌切除和下颌切除后，患者强烈要求自己咀嚼食物*以某种方式通过假体代替舌头和牙齿。舌头缺失对咀嚼系统的损害比牙齿缺失更为严重，提示VF影像分析可用于临床评价咀嚼和吞咽功能。

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.