Changes in tongue-palatal contact during swallowing in patients with skeletal mandibular prognathism after orthognathic surgery.

This study aimed to evaluate improvement of tongue-palatal contact patterns during swallowing after orthognathic surgery in mandibular prognathism patients. Thirty patients with mandibular prognathism treated by orthognathic surgery (average age of 27 years, 3 months) and 10 controls (average age 29...

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Autores principales: Haruka Kagawa, Masato Kaku, Taeko Yamamoto, Yuka Yashima, Hiromi Sumi, Takashi Kamiya, Ichiro Yamamoto, Kotaro Tanimoto
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:50edae59e8354172b7bb2a317825e8ab2021-11-25T06:19:07ZChanges in tongue-palatal contact during swallowing in patients with skeletal mandibular prognathism after orthognathic surgery.1932-620310.1371/journal.pone.0251759https://doaj.org/article/50edae59e8354172b7bb2a317825e8ab2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251759https://doaj.org/toc/1932-6203This study aimed to evaluate improvement of tongue-palatal contact patterns during swallowing after orthognathic surgery in mandibular prognathism patients. Thirty patients with mandibular prognathism treated by orthognathic surgery (average age of 27 years, 3 months) and 10 controls (average age 29 years, 6 months) participated in this study. Tongue-palatal contact patterns of patients before and three months after surgery were evaluated by electropalatography (EPG) as well as controls. Whole total of tongue-palatal contact at 0.3, 0.2, and 0.1 sec before complete tongue-palatal contact during swallowing were evaluated. The duration of swallowing phases was also examined. Complete contact of tongue-tip in the alveolar part of individual artificial EPG plate were shown at 0.3, 0.2, and 0.1 sec before complete tongue-palatal contact in the controls, although incomplete contact in the alveolar part were shown at 0.3 sec in mandibular prognathism patients. Whole total of tongue-palatal contact at 0.3 and 0.2 sec before complete tongue-palatal contact was significantly lower in the patients before surgery than in the controls (p<0.05). However, these values increased after surgery. The duration of oral and pharyngeal phase was significantly longer in the patients before surgery than in the controls and the patients after surgery (p<0.01). This study demonstrated that the tongue-palatal contact pattern improved and the duration of oral and pharyngeal phase was shortened in mandibular prognathism patients during swallowing after orthognathic surgery. It is suggested that changes in maxillofacial morphology by orthognathic surgery can induce normal tongue movement during swallowing. (The data underlying this study have been uploaded to figshare and are accessible using the following DOI: https://doi.org/10.6084/m9.figshare.14101616.v1).Haruka KagawaMasato KakuTaeko YamamotoYuka YashimaHiromi SumiTakashi KamiyaIchiro YamamotoKotaro TanimotoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251759 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Haruka Kagawa
Masato Kaku
Taeko Yamamoto
Yuka Yashima
Hiromi Sumi
Takashi Kamiya
Ichiro Yamamoto
Kotaro Tanimoto
Changes in tongue-palatal contact during swallowing in patients with skeletal mandibular prognathism after orthognathic surgery.
description This study aimed to evaluate improvement of tongue-palatal contact patterns during swallowing after orthognathic surgery in mandibular prognathism patients. Thirty patients with mandibular prognathism treated by orthognathic surgery (average age of 27 years, 3 months) and 10 controls (average age 29 years, 6 months) participated in this study. Tongue-palatal contact patterns of patients before and three months after surgery were evaluated by electropalatography (EPG) as well as controls. Whole total of tongue-palatal contact at 0.3, 0.2, and 0.1 sec before complete tongue-palatal contact during swallowing were evaluated. The duration of swallowing phases was also examined. Complete contact of tongue-tip in the alveolar part of individual artificial EPG plate were shown at 0.3, 0.2, and 0.1 sec before complete tongue-palatal contact in the controls, although incomplete contact in the alveolar part were shown at 0.3 sec in mandibular prognathism patients. Whole total of tongue-palatal contact at 0.3 and 0.2 sec before complete tongue-palatal contact was significantly lower in the patients before surgery than in the controls (p<0.05). However, these values increased after surgery. The duration of oral and pharyngeal phase was significantly longer in the patients before surgery than in the controls and the patients after surgery (p<0.01). This study demonstrated that the tongue-palatal contact pattern improved and the duration of oral and pharyngeal phase was shortened in mandibular prognathism patients during swallowing after orthognathic surgery. It is suggested that changes in maxillofacial morphology by orthognathic surgery can induce normal tongue movement during swallowing. (The data underlying this study have been uploaded to figshare and are accessible using the following DOI: https://doi.org/10.6084/m9.figshare.14101616.v1).
format article
author Haruka Kagawa
Masato Kaku
Taeko Yamamoto
Yuka Yashima
Hiromi Sumi
Takashi Kamiya
Ichiro Yamamoto
Kotaro Tanimoto
author_facet Haruka Kagawa
Masato Kaku
Taeko Yamamoto
Yuka Yashima
Hiromi Sumi
Takashi Kamiya
Ichiro Yamamoto
Kotaro Tanimoto
author_sort Haruka Kagawa
title Changes in tongue-palatal contact during swallowing in patients with skeletal mandibular prognathism after orthognathic surgery.
title_short Changes in tongue-palatal contact during swallowing in patients with skeletal mandibular prognathism after orthognathic surgery.
title_full Changes in tongue-palatal contact during swallowing in patients with skeletal mandibular prognathism after orthognathic surgery.
title_fullStr Changes in tongue-palatal contact during swallowing in patients with skeletal mandibular prognathism after orthognathic surgery.
title_full_unstemmed Changes in tongue-palatal contact during swallowing in patients with skeletal mandibular prognathism after orthognathic surgery.
title_sort changes in tongue-palatal contact during swallowing in patients with skeletal mandibular prognathism after orthognathic surgery.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/50edae59e8354172b7bb2a317825e8ab
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