巨舌症に対する舌縮小術施行前後の口腔形態, 発音機能の経年的観察

DOI 被引用文献2件 参考文献24件
  • 松田 千春
    First Department of Oral and Maxillofacial Surgery, School of Dentistry
  • 鈴木 規子
    First Department of Oral and Maxillofacial Surgery, School of Dentistry
  • 山下 夕香里
    First Department of Oral and Maxillofacial Surgery, School of Dentistry
  • 山鹿 高義
    First Department of Oral and Maxillofacial Surgery, School of Dentistry
  • 道 健一
    First Department of Oral and Maxillofacial Surgery, School of Dentistry

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タイトル別名
  • OBSERVATION OF ORAL FORMATION AND SPEECH FUNCTION IN A PATIENT WITH TOUGUE REDUCTION FOR MACROGLOSSIA

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A patient presenting lymphangiomatous macroglossia associated with open-bite was followed up for thirteen years and evaluated using dental casts measurement of and cephalometric analysis and auditory observations during speech. The patient was a 3-year-old female who visited our clinic first with a chief complaint of tongue thrusting in may 1979. She was treated using chin-cap and crib plate, but tongue thrusting persisted.<BR>The patient had undergone tongue reduction at 7 years of age because she was resistant to preservative therapy before her growth spurts and her open-bite was resolved naturally 2 years after surgical intervention.<BR>The overall observation period was thirteen years.<BR>Results obtained were as follows:<BR>1) Post operative enlargement was not due to a lymphangioma.<BR>2) Her occlusion, especially overjet and overbite showed normal data 2 years after surgical intervention.<BR>3) The patient had normal mandibular formation cephalometrically at 17 years old.<BR>4) She had no speech problems 2 years after surgical intervention.<BR>These results suggest the timing of tongue reduction should scar be before the anterior teeth replacement stage i. e. before the growth spurt.

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