睡眠呼吸障碍患者口咽运动中上呼吸道形态功能的改变。

IF 2.4 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Andresa Santos da Silva, Esther Mandelbaum Gonçalves Bianchini, Eric Rodrigues Thuler, Stanley Yung Chuan Liu, Mariane Sayuri Yui, Fabiane Kayamori, Vanier Dos Santos, Fabio Augusto Winckler Rabelo
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引用次数: 0

摘要

背景:口腔面部肌功能疗法(OMT)已成为成人和儿童睡眠呼吸障碍(SDB)治疗的一种替代和辅助疗法。虽然OMT的功效已被证实,但每种运动触发的形态功能机制仍不清楚。本研究旨在通过鼻纤维喉镜(NFL)研究与已建立的用于治疗SDB的口咽运动相关的形态功能性上气道(UA)变化。方法:选取13个OMT练习,结合相关文献进行分析。在尊重纳入和排除标准的情况下,15名男女健康成人受试者完成了所有的练习,从鼻咽和口咽角度通过NFL记录了390次UA动力学变化的视频记录。视频分析由三位盲法耳鼻喉科医生使用一种特定的仪器进行,包括结构验证、运动类型和强度分类。统计分析包括Fleiss Kappa协议系数和Friedman检验来比较练习之间的差异。结果:这项原始研究使用了一种方法,允许描述和识别哪些运动在软腭、咽/下咽壁、舌后区和会厌区域产生更大的活动性、刚度和修改。分析的13项演习提供了对其在UA中的作用机制的见解。对于每个咽部区域,确定了诱导最显著变化的练习。结论:本研究中描述的形态功能变化的分析有助于理解在OMT中使用的运动是如何起作用的,有助于选择最有效的临床方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Upper Airway Morphofunctional Changes During Oropharyngeal Exercises for Sleep-Disordered Breathing.

Background: Orofacial myofunctional therapy (OMT) has emerged as an alternative and adjunct for the treatment of sleep-disordered breathing (SDB) in adults and children. While OMT efficacy has been demonstrated, the morphofunctional mechanisms triggered by each exercise remain poorly elucidated. This study aimed to characterise morphofunctional upper airway (UA) changes associated with established oropharyngeal exercises utilised to treat SDB by nasofibrolaryngoscopy (NFL).

Methods: Thirteen OMT exercises were selected and analysed based on the relevant literature. Respecting inclusion and exclusion criteria, 15 healthy adult subjects of both sexes performed all the exercises, resulting in 390 video recordings of changes in UA dynamics through NFL, from the nasopharyngeal and oropharyngeal view. The video analyses were performed by three blinded ENT doctors using a specific instrument that included structural verification, movement type and intensity classification. Statistical analyses included the Fleiss Kappa Agreement Coefficient and the Friedman Test for comparison between exercises.

Results: This original study used a methodology that allowed for the description and identification of which exercises produce greater mobility, stiffness and modification in the regions of the soft palate, pharyngeal/hypopharyngeal wall, retrolingual region and epiglottis. The 13 exercises analysed provided insights into their action mechanisms in the UA. The exercises that induce the most significant changes, for each pharyngeal region, were identified.

Conclusion: The analyses of the morphofunctional changes described in this study contribute to the understanding of how exercises used in OMT act, aiding in the selection of the most effective clinical approaches.

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来源期刊
Orthodontics & Craniofacial Research
Orthodontics & Craniofacial Research 医学-牙科与口腔外科
CiteScore
5.30
自引率
3.20%
发文量
65
审稿时长
>12 weeks
期刊介绍: Orthodontics & Craniofacial Research - Genes, Growth and Development is published to serve its readers as an international forum for the presentation and critical discussion of issues pertinent to the advancement of the specialty of orthodontics and the evidence-based knowledge of craniofacial growth and development. This forum is based on scientifically supported information, but also includes minority and conflicting opinions. The objective of the journal is to facilitate effective communication between the research community and practicing clinicians. Original papers of high scientific quality that report the findings of clinical trials, clinical epidemiology, and novel therapeutic or diagnostic approaches are appropriate submissions. Similarly, we welcome papers in genetics, developmental biology, syndromology, surgery, speech and hearing, and other biomedical disciplines related to clinical orthodontics and normal and abnormal craniofacial growth and development. In addition to original and basic research, the journal publishes concise reviews, case reports of substantial value, invited essays, letters, and announcements. The journal is published quarterly. The review of submitted papers will be coordinated by the editor and members of the editorial board. It is policy to review manuscripts within 3 to 4 weeks of receipt and to publish within 3 to 6 months of acceptance.
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