頭頸部癌術後嚥下障害患者に対する姿勢調節法の効果 : 嚥下造影画像解析による直立姿勢と健側傾斜姿勢との比較検討 Effects of postural technique on postsurgical dysphagia in patients with head and neck cancer : Comparision of upright posture with head tilting posture on the stronger side by videofluorographic analysis

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著者

    • 深澤 美樹 FUKASAWA Miki
    • 昭和大学歯学部顎口腔疾患制御外科学教室 Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
    • 高橋 浩二 TAKAHASHI Koji
    • 昭和大学歯学部口腔リハビリテーション科 Department of Oral Rehabilitation, School of Dentistry, Showa University
    • 宇山 理紗 UYAMA Risa
    • 昭和大学歯学部口腔リハビリテーション科 Department of Oral Rehabilitation, School of Dentistry, Showa University
    • 平野 薫 HIRANO Kaoru
    • 昭和大学歯学部口腔リハビリテーション科 Department of Oral Rehabilitation, School of Dentistry, Showa University
    • 根本 敏行 NEMOTO Toshiyuki
    • 昭和大学歯学部顎口腔疾患制御外科学教室 Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
    • 山本 麗子 YAMAMOTO Reiko
    • 昭和大学歯学部顎口腔疾患制御外科学教室 Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
    • 齋藤 浩人 SAITO Hiroto
    • 昭和大学歯学部顎口腔疾患制御外科学教室 Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
    • 高橋 由香 TAKAHASHI Yuka
    • 昭和大学歯学部顎口腔疾患制御外科学教室 Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
    • 雨海 稔 AMAGAI Minoru
    • 昭和大学歯学部顎口腔疾患制御外科学教室 Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
    • 島 晴信 SHIMA Harunobu
    • 昭和大学歯学部顎口腔疾患制御外科学教室 Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University

抄録

Postsurgical dysphagia in patients with head and neck cancer is often improved by postural techniques, one procedure for compensatory treatment.<BR>This study was done to analyze videofluorographic (VF) images of postsurgical patients with head and neck cancer by comparing upright posture with head tilting posture on the stronger side. Twelve postsurgical patients with head and neck cancer whose aspiration was improved by head tilting posture on the stronger side were studied.<BR>The tilting magnitude, vallecular angle, and epiglottic angle were measuredon VF prints. Retained amounts of swallowed barium were evaluated in the oral region, vallecular region, and pyriform sinus on VF images.<BR>Pharyngeal delay time, pharyngeal passage time, and pharyngo-esophageal (PE) segment opening time were measured on VF images. The results were as follows:<BR>1) There was no correlation between any two of the following three variables: tilting magnitude, vallecular angle, and epiglottic angle.<BR>2) The retained amount of swallowed barium swallow in tilting posture on the stronger side was less than that in upright posture in 10 of 12 subjects.<BR>3) As compared with upright position, pharyngeal delay time and pharyngeal passage time were shorter in tilting posture on the stronger side.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 50(8), 461-465, 2004-08-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018619370
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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