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  1 / 1801 MEDLINE  
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[PMID]:28457512
[Au] Autor:Soltani S; Aghakhani K; Fallah F
[Ad] Endereço:Department of Forensic Medicine and Toxicology, Iran University of Medical Sciences, Tehran, Iran.
[Ti] Título:Sex prediction potential of hyoid metric measurements in Iranian adults.
[So] Source:Leg Med (Tokyo);25:6-10, 2017 Mar.
[Is] ISSN:1873-4162
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Human hyoid is sexually dimorphic and is useful for sexing unknown skeletal remains. We aimed to find sex prediction potential of three linear dimensions of hyoid bones obtained from a series of cadavers with Persian ethnicity. METHODS: This cross-sectional study was carried out in 2015 at Forensic Pathology Organization of Tehran, Iran. We directly measured three linear dimensions of a series of hyoid samples obtained from cadavers during their neck autopsy in a convenience method. These dimensions were width, length and distance between lesser horns of hyoid. Height and weight of cadavers were also documented. Cadavers were of Persian ethnicity and at least 25-year-old. Data were analyzed by SPSS16. Logistic Regression Model was applied to find independent sex predictor(s) of hyoid. Statistically significant level was considered <0.05. RESULTS: Hyoids of 349 adult cadavers (176 females and 173 males) with mean±SD age of 39.91±8.13years were investigated. Male cadavers had significantly higher BMI values (p-value<0.001). Mean±SD for width, length and distance between lesser horns of hyoids were 34.45±4.70, 34.61±4.67 and 22.71±2.80mm, respectively. All measured dimensions had greater mean values in males (all with p-values<0.001). After adjusting for BMI, length and distance between lesser horns of hyoid were independent predictors of sex with odd's ratio of 4.67 and 1.97, respectively. Combining these two measurements provided sex classification accuracy of 97.4%. CONCLUSION: Special metric hyoid indicators can help in accurate sexing of skeletal remnants of adult Iranians. Further studies will find the strongest sex predictors of hyoid bones among Persians.
[Mh] Termos MeSH primário: Osso Hioide/anatomia & histologia
Determinação do Sexo pelo Esqueleto/métodos
[Mh] Termos MeSH secundário: Adulto
Índice de Massa Corporal
Cadáver
Estudos Transversais
Feminino
Seres Humanos
Irã (Geográfico)
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


  2 / 1801 MEDLINE  
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[PMID]:28468149
[Au] Autor:Yao K; Wang M; Yu W; Lu X
[Ad] Endereço:Department of Oral and Cranio-Maxillofacial Surgery, Sleep Center, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
[Ti] Título:Study on the Short-Time Remolding of Upper Airway After Uvulopalatopharyngoplasty.
[So] Source:J Craniofac Surg;28(3):688-692, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To verify the short-time remolding of upper airway in patients diagnosed with obstructive sleep disordered breathing after Uvulopalatopharyngoplasty (UPPP). METHODS: Twenty-one male adult patients aged 27 to 52 years followed up ranged from preoperation to 6 months after the operation. Lateral cephalometric radiographs (conventional and when pronouncing "i") were obtained 2 weeks preoperatively, 3 days postoperatively, and 1, 2, 3, 6 months after the surgery. The anterolateral diameters of different levels of upper airway and parameters of hyoid position of the patients were then measured. SAS 8.02 was used to analyze the differences by time. RESULTS: The study illustrated that the UPPP major affected the velopharyngeal and glossopharyngeal areas: parameters wane (P <0.05). On the other hand, UPPP leaded to the decline and retreat of hyoid. Most of the parameters remained metabolic. The nasopharynx kept statical (P >0.05) while the velopharyngeal parameters were increasing (P <0.05). The glossopharyngeal parameters increased in the first month after UPPP (P <0.05), while hypopharyngeal parameters underwent decline since 2 months after UPPP (P <0.05). The hyoid obtained decline and retreat (P <0.05) overall, while it endured a short-time climb in the first month after UPPP (P <0.05). CONCLUSION: Short-time upper airway remolding after UPPP existed.
[Mh] Termos MeSH primário: Remodelação das Vias Aéreas/fisiologia
Palato Mole/cirurgia
Faringe/cirurgia
Apneia Obstrutiva do Sono/cirurgia
Úvula/cirurgia
[Mh] Termos MeSH secundário: Adulto
Cefalometria
Seguimentos
Seres Humanos
Osso Hioide/cirurgia
Masculino
Meia-Idade
Nasofaringe/fisiopatologia
Nasofaringe/cirurgia
Período Pós-Operatório
Apneia Obstrutiva do Sono/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003476


  3 / 1801 MEDLINE  
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[PMID]:29182687
[Au] Autor:Kim WS; Zeng P; Shi JQ; Lee Y; Paik NJ
[Ad] Endereço:Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Korea.
[Ti] Título:Semi-automatic tracking, smoothing and segmentation of hyoid bone motion from videofluoroscopic swallowing study.
[So] Source:PLoS One;12(11):e0188684, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Motion analysis of the hyoid bone via videofluoroscopic study has been used in clinical research, but the classical manual tracking method is generally labor intensive and time consuming. Although some automatic tracking methods have been developed, masked points could not be tracked and smoothing and segmentation, which are necessary for functional motion analysis prior to registration, were not provided by the previous software. We developed software to track the hyoid bone motion semi-automatically. It works even in the situation where the hyoid bone is masked by the mandible and has been validated in dysphagia patients with stroke. In addition, we added the function of semi-automatic smoothing and segmentation. A total of 30 patients' data were used to develop the software, and data collected from 17 patients were used for validation, of which the trajectories of 8 patients were partly masked. Pearson correlation coefficients between the manual and automatic tracking are high and statistically significant (0.942 to 0.991, P-value<0.0001). Relative errors between automatic tracking and manual tracking in terms of the x-axis, y-axis and 2D range of hyoid bone excursion range from 3.3% to 9.2%. We also developed an automatic method to segment each hyoid bone trajectory into four phases (elevation phase, anterior movement phase, descending phase and returning phase). The semi-automatic hyoid bone tracking from VFSS data by our software is valid compared to the conventional manual tracking method. In addition, the ability of automatic indication to switch the automatic mode to manual mode in extreme cases and calibration without attaching the radiopaque object is convenient and useful for users. Semi-automatic smoothing and segmentation provide further information for functional motion analysis which is beneficial to further statistical analysis such as functional classification and prognostication for dysphagia. Therefore, this software could provide the researchers in the field of dysphagia with a convenient, useful, and all-in-one platform for analyzing the hyoid bone motion. Further development of our method to track the other swallowing related structures or objects such as epiglottis and bolus and to carry out the 2D curve registration may be needed for a more comprehensive functional data analysis for dysphagia with big data.
[Mh] Termos MeSH primário: Automação
Deglutição
Fluoroscopia/métodos
Osso Hioide/fisiologia
[Mh] Termos MeSH secundário: Seres Humanos
Osso Hioide/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171226
[Lr] Data última revisão:
171226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0188684


  4 / 1801 MEDLINE  
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[PMID]:28738365
[Au] Autor:Goh YH; Tan W; Abdullah VJ; Kim SW
[Ti] Título:Advances in Box Surgery for Obstructive Sleep Apnea: Genioglossus Advancement, Hyoid Suspension, and Maxillomandibular Advancement.
[So] Source:Adv Otorhinolaryngol;80:99-108, 2017.
[Is] ISSN:1662-2847
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:Box surgery for obstructive sleep apnea (OSA) patients consists of mandibular surgery, including genioglossus advancement, hyoid suspension, and maxillomandibular advancement, as an airway reconstruction. This surgery was developed in the early 1980s. Thereafter, techniques were modified in each surgery for the enhancement of outcome and prevention of complications. However, the indication for surgery remains poorly defined due to the dynamicity of the upper airway, variability of the phenotype in OSA patients, and absence of a representative method for the obstruction site in the upper airway. As a result, box surgery is performed restrictively. On the development of an evaluation method including radiologic and endoscopic examination during sleep, the indications and surgical outcomes of each box surgery should be standardized and reevaluated. In this review, the development and limitations of box surgery will be discussed for the positive future of this surgery.
[Mh] Termos MeSH primário: Osso Hioide/cirurgia
Avanço Mandibular/métodos
Apneia Obstrutiva do Sono/cirurgia
Língua/cirurgia
[Mh] Termos MeSH secundário: Seres Humanos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170725
[St] Status:MEDLINE
[do] DOI:10.1159/000470873


  5 / 1801 MEDLINE  
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[PMID]:28681366
[Au] Autor:Koyama Y; Sugimoto A; Hamano T; Kasahara T; Toyokura M; Masakado Y
[Ad] Endereço:Department of Rehabilitation Medicine, Tokai University Oiso Hospital, 21-2 Gakkyo, Oiso-machi, Naka-gun, Kanagawa 259-0198, Japan. y-koyama@tokai.ac.jp.
[Ti] Título:Proposal for a Modified Jaw Opening Exercise for Dysphagia: A Randomized, Controlled Trial.
[So] Source:Tokai J Exp Clin Med;42(2):71-78, 2017 Jul 20.
[Is] ISSN:2185-2243
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To verify the feasibility and effectiveness of a newly developed modified jaw opening exercise (MJOE) in post-stroke patients with pharyngeal residue who completed a sixweek exercise regimen. DESIGN: Double-blind, randomized, controlled trial. PARTICIPANTS: 16 patients with stroke-related dysphagia. INTERVENTIONS: Participants were allocated to an intervention group (MJOE: one set of five repetitions at 80% maximum voluntary contraction (MVC) for 6 seconds) or a control group (isometric jaw closing exercise: one set of five repetitions at 20% MVC for 6 seconds). Each group performed four sets a day, five times a week, for a total of six weeks. MAIN OUTCOME MEASURES: A videofluorographic swallowing study was performed before and after exercise. The distance between the mental spine and the hyoid bone (DMH) and hyoid displacement (HD) were measured. RESULTS: Twelve participants completed the study. No pain in the temporomandibular joint and/or anterior region of the neck occurred during the exercise period. In the intervention group (N=6), a decrease in DMH where anterior HD ended and an increase in anterior HD were seen. In the control group (N=6), no changes were seen. CONCLUSIONS: MJOE is feasible without any adverse events in poststroke patients, and it promotes anterior HD during swallowing.
[Mh] Termos MeSH primário: Transtornos de Deglutição/terapia
Exercício/fisiologia
Arcada Osseodentária/fisiologia
[Mh] Termos MeSH secundário: Idoso
Transtornos de Deglutição/diagnóstico por imagem
Transtornos de Deglutição/etiologia
Método Duplo-Cego
Estudos de Viabilidade
Feminino
Seres Humanos
Osso Hioide/diagnóstico por imagem
Masculino
Meia-Idade
Acidente Vascular Cerebral/complicações
Reabilitação do Acidente Vascular Cerebral
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE


  6 / 1801 MEDLINE  
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[PMID]:28671069
[Au] Autor:Ruth JD; Stokowski SK; Clapp KS; Werre SR
[Ad] Endereço:Department of Small Animal Clinical Sciences, Virginia Maryland College of Veterinary Medicine, 205 Duck Pond Drive, Blacksburg, VA 24061, USA. Electronic address: jeffruth@vt.edu.
[Ti] Título:Prevalence of hyoid injuries in dogs and cats undergoing computed tomography.
[So] Source:Vet J;223:34-38, 2017 May.
[Is] ISSN:1532-2971
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Fractures of the hyoid bones have been reported occasionally in dogs, but the prevalence and significance of hyoid injury in dogs and cats are unknown. In human beings, hyoid injury is rare and usually is caused by direct trauma to the greater cornu, which are analogous to the paired canine and feline thyrohyoid bones. The aim of this study was to describe the prevalence and morphology of hyoid bone injury detected in dogs and cats undergoing computed tomography (CT) for unrelated disease. CT studies of 293 dogs and 100 cats from 2012 to 2016 were identified and reviewed retrospectively. Hyoid fracture (total of eight bones) or luxation (total of four sites) was present in 9/293 (3.1%) dogs, but none of the cats. One dog had bilateral fractures and one dog had bilateral luxations. The most frequently fractured bone was the epihyoid bone (4/8 fractures). Fracture margins were tapered and sclerotic, consistent with chronic non-union. There was no history of trauma, dysphagia or dyspnea in 7/9 dogs with hyoid fractures. Hyoid bone injury, particularly epihyoid bone fracture, may be an incidental finding in dogs.
[Mh] Termos MeSH primário: Doenças do Gato/etiologia
Doenças do Cão/etiologia
Osso Hioide/lesões
Tomografia Computadorizada por Raios X/veterinária
[Mh] Termos MeSH secundário: Animais
Gatos
Cães
Feminino
Fraturas Ósseas/epidemiologia
Fraturas Ósseas/etiologia
Fraturas Ósseas/veterinária
Masculino
Estudos Retrospectivos
Tomografia Computadorizada por Raios X/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170704
[St] Status:MEDLINE


  7 / 1801 MEDLINE  
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[PMID]:28408812
[Au] Autor:Shinozaki H; Tohara H; Matsubara M; Inokuchi N; Yamazaki Y; Nakane A; Wakasugi Y; Minakuchi S
[Ad] Endereço:Department of Gerodontology, Tokyo Medical and Dental University, Tokyo, Japan.
[Ti] Título:Relationship between jaw opening force and hyoid bone dynamics in healthy elderly subjects.
[So] Source:Clin Interv Aging;12:629-634, 2017.
[Is] ISSN:1178-1998
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:PURPOSE: This study aimed to examine the relationship between jaw opening force and hyoid bone dynamics and resting position in elderly individuals based on gender. SUBJECTS AND METHODS: Subjects were 36 healthy elderly individuals aged ≥65 years without dysphagia (16 men and 20 women; mean age 75.5 years, range 65-88 years). Videofluorographic images during the swallowing of 10 mL of 40% (w/v) barium sulfate were obtained and the degrees of anterior, superior, and hypotenuse displacements of the hyoid bone and maximum/resting hyoid position were evaluated. Jaw opening force was measured three times using a jaw opening force sthenometer; the mean of these three measurements was used for analysis. RESULTS: In men, there was a positive correlation between jaw opening force and resting hyoid position and negative correlations among all the degrees of anterior, superior, and hypotenuse displacements of the hyoid bone. In women, there was no statistically significant correlation between jaw opening force and any of the measurement items. There was no statistically significant correlation between jaw opening force and maximum hyoid position in either men or women. CONCLUSION: Our findings suggest that low jaw opening force leads to low resting hyoid position only in elderly men, and a lower hyoid position in healthy elderly men results in a larger total amount of hyoid displacement during swallowing. Moreover, a maximum hyoid position in healthy individuals of either gender does not differ depending on their jaw opening force.
[Mh] Termos MeSH primário: Deglutição/fisiologia
Osso Hioide/fisiologia
Força Muscular/fisiologia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Transtornos de Deglutição
Feminino
Voluntários Saudáveis
Seres Humanos
Masculino
Meia-Idade
Gravação em Vídeo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170415
[St] Status:MEDLINE
[do] DOI:10.2147/CIA.S130946


  8 / 1801 MEDLINE  
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[PMID]:28385657
[Au] Autor:Liu JM; Du LX; Xiong X; Chen XY; Zhou Y; Long XH; Huang SH; Liu ZL
[Ad] Endereço:Department of Orthopedic Surgery, the First Affiliated Hospital of Nanchang University, Nanchang, P. R. China.
[Ti] Título:Radiographic Evaluation of the Reliability of Neck Anatomic Structures as Anterior Cervical Surgical Landmarks.
[So] Source:World Neurosurg;103:133-137, 2017 Jul.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Accurate location of the skin incision is helpful to decrease the technical difficulty and save the operative time in anterior cervical spine surgery. Spine surgeons usually use the traditional neck anatomic structures (the hyoid bone, thyroid cartilage, and cricoid cartilage) as landmarks during the surgery. However, the reliability of these landmarks has not been validated in actual practice. OBJECTIVE: To find out which landmark is the most accurate for identifying the cervical levels in anterior cervical spine surgery. METHODS: The lateral flexion and extension radiographs of cervical spine in standing position from 30 consecutive patients from January 2015 to February 2015 were obtained. The cervical vertebral bodies from C2 to C7 were divided equally into 2 segments. The cervical segments corresponding to each of the surface landmarks were recorded on the flexion and extension radiographs, respectively, and the displacement of corresponding cervical segments from the flexion to extension radiographs for each landmark was calculated. RESULTS: Based on the measurements, the main corresponding cervical levels for the mandibular angle were C2 on both of the flexion and extension films, for the hyoid bone were the C3-C4 interspace on flexion film and C3 on extension film, for the thyroid cartilage C5 on both of flexion and extension films, and for the cricoid cartilage C6 on flexion film and C5-C6 interspace on extension film, respectively. The ratios of displacement within 2 segments from flexion to extension were 83.3% (25/30) for mandibular angle, 56.7% (17/30) for hyoid bone, 66.7% (20/30) for thyroid cartilage, and 56.7% (17/30) for cricoid cartilage, respectively. The mean displacement from flexion to extension films were significantly less than 2 cervical segments for the mandibular angle but greater than 2 segments for the other landmarks. Significant differences were found between mandibular angle and the other 3 landmarks for the displacement from flexion to extension. CONCLUSIONS: The angle of mandible was found to be the most accurate landmark for identifying the cervical level, which corresponded to C2 and C2-C3 disc space. The hyoid bone, thyroid cartilage, and cricoid cartilage were not reliable to predict the cervical levels.
[Mh] Termos MeSH primário: Pontos de Referência Anatômicos/diagnóstico por imagem
Vértebras Cervicais/cirurgia
Cartilagem Cricoide/diagnóstico por imagem
Osso Hioide/diagnóstico por imagem
Cartilagem Tireóidea/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Pontos de Referência Anatômicos/anatomia & histologia
Cartilagem Cricoide/anatomia & histologia
Feminino
Seres Humanos
Osso Hioide/anatomia & histologia
Masculino
Pescoço/anatomia & histologia
Pescoço/diagnóstico por imagem
Radiografia
Reprodutibilidade dos Testes
Cartilagem Tireóidea/anatomia & histologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170408
[St] Status:MEDLINE


  9 / 1801 MEDLINE  
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[PMID]:28351658
[Au] Autor:Jiang C; Yi Y; Jiang C; Fang S; Wang J
[Ad] Endereço:Resident, Key Laboratory of Oral Clinical Medicine, College of Stomatology, Qingdao University; Department of Orthodontics, the Affiliated Hospital of Medical College Qingdao University, Qingdao China; State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Depart
[Ti] Título:Pharyngeal Airway Space and Hyoid Bone Positioning After Different Orthognathic Surgeries in Skeletal Class II Patients.
[So] Source:J Oral Maxillofac Surg;75(7):1482-1490, 2017 Jul.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To obtain good profiles, patients with severe skeletal Class II malocclusion require orthognathic surgery, which might change their airway space and, hence, influence their quality of sleep. The present study aimed to 1) determine the effect of different orthognathic surgeries on pharyngeal airway space and hyoid bone position in patients with skeletal Class II malocclusion and 2) evaluate the stability of changes in the pharyngeal airway space and hyoid bone position after orthognathic surgeries. MATERIALS AND METHODS: Patients with severe skeletal Class II malocclusion who underwent mandibular advancement (MA) or mandibular advancement and maxillary setback (MAMS) were included in this retrospective cohort study. Changes in the pharyngeal airway space and hyoid bone position were evaluated as the primary outcome variables. Measurements were obtained before surgery (T1), 1 month after surgery (T2), and 2 years after surgery (T3) using Dolphin Imaging Software 11.0. Differences in measurements between T2 and T1 and between T3 and T1 were calculated and imported into SPSS 22.0 for data analysis. RESULTS: Fifty patients were included (25 in MA group and 25 in MAMS group). Oropharyngeal and hypopharyngeal airway cross-dimensions and areas were significantly increased in the MA group (P < .05) and the increases were stable at T3. In the MAMS group, the nasopharyngeal airway cross-dimension and area were decreased (P > .05), but the hypopharyngeal cross-dimension and area were significantly increased (P < .05). The hyoid bone moved superiorly and forward after surgery in the MA group (P < .05), and the movement was stable at T3. CONCLUSIONS: MA can widen the oropharyngeal and hypopharyngeal airway space, and maxillary setback can narrow the nasopharyngeal airway space. Some relapse related to the width of the oropharynx and hypopharynx was found at the long-term observation. The hyoid bone moved superiorly and forward in the MA group.
[Mh] Termos MeSH primário: Osso Hioide/anatomia & histologia
Má Oclusão de Angle Classe II/cirurgia
Procedimentos Cirúrgicos Ortognáticos/métodos
Faringe/anatomia & histologia
[Mh] Termos MeSH secundário: Estudos de Coortes
Feminino
Seres Humanos
Masculino
Estudos Retrospectivos
Índice de Gravidade de Doença
Fatores de Tempo
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:AIM; D; IM
[Da] Data de entrada para processamento:170330
[St] Status:MEDLINE


  10 / 1801 MEDLINE  
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[PMID]:28319639
[Au] Autor:Muss L; Wilmskoetter J; Richter K; Fix C; Stanschus S; Pitzen T; Drumm J; Molfenter S
[Ad] Endereço:Bielefeld University, Bielefeld, GermanyMedical Park Loipl, Bischofswiesen, Germany.
[Ti] Título:Changes in Swallowing After Anterior Cervical Discectomy and Fusion With Instrumentation: A Presurgical Versus Postsurgical Videofluoroscopic Comparison.
[So] Source:J Speech Lang Hear Res;60(4):785-793, 2017 04 14.
[Is] ISSN:1558-9102
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Purpose: The purpose of this study was to explore the impact of anterior cervical discectomy and fusion (ACDF) with anterior instrumentation on swallowing function and physiology as measured on videofluoroscopic swallowing studies. Method: We retrospectively analyzed both functional measures (penetration-aspiration, residue) and physiological/anatomical measures (hyoid excursion, posterior pharyngeal wall thickness) in a series of 17 patients (8 men, 9 women, mean age 54 years). These measures were extracted from calibrated 5-ml boluses of thin radio-opaque liquids on both pre-ACDF and post-ACDF videofluoroscopies, thus controlling for individual variation and protocol variation. Results: After ACDF surgery, we found significant within-subject worsening of Penetration-Aspiration Scale (Rosenbek, Robbins, Roecker, Coyle, & Wood, 1996) scores, vallecular (but not piriform sinus) residue, superior (but not anterior) hyoid excursion, and posterior pharyngeal wall thickness. Results are discussed in the context of previous literature. Conclusions: ACDF surgery can affect both physiological/anatomical and functional measures of swallowing. Future research should expand to other biomechanical and temporal variables, as well as greater bolus volumes and a wider array of viscosities and textures.
[Mh] Termos MeSH primário: Vértebra Cervical Áxis/cirurgia
Transtornos de Deglutição/etiologia
Deglutição
Discotomia
Complicações Pós-Operatórias/diagnóstico por imagem
Fusão Vertebral
[Mh] Termos MeSH secundário: Adulto
Idoso
Deglutição/fisiologia
Transtornos de Deglutição/diagnóstico por imagem
Transtornos de Deglutição/fisiopatologia
Feminino
Fluoroscopia
Seres Humanos
Osso Hioide/diagnóstico por imagem
Osso Hioide/fisiologia
Masculino
Meia-Idade
Variações Dependentes do Observador
Faringe/diagnóstico por imagem
Faringe/fisiologia
Complicações Pós-Operatórias/fisiopatologia
Reprodutibilidade dos Testes
Estudos Retrospectivos
Gravação em Vídeo
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170321
[St] Status:MEDLINE
[do] DOI:10.1044/2016_JSLHR-S-16-0091



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