树突状细胞在拔牙后牙槽骨愈合中的作用

Jaimini Patel, Ranya El Sayad, M. Elsalanty, C. Cutler
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引用次数: 0

摘要

由于人类对视力的依赖程度,视力恢复方法是视力丧失的视神经病变患者的主要治疗选择。这一趋势反映在对视力恢复程序的大量研究中。由于缺乏对替代疗法的研究和误诊的普遍存在,不可逆视力丧失患者的治疗选择有限(Jay, 2016;Weerasinghe & Lueck, 2016)。代偿可塑性认为,听觉输入可以在视觉剥夺的大脑中占据可用的皮质空间。听觉认知的增强可以通过基于听觉的康复工具加以利用。感官替代装置让视力受损的个体能够听到“颜色”和“形状”,感知周围环境(O. Collignon, Champoux, Voss, & Lepore, 2011;Striem-Amit, Guendelman, & Amedi, 2012),甚至使用音景阅读“书面”信件(Striem-Amit, Cohen, Dehaene, & Amedi, 2012)。VD回声定位器通过舌头点击来导航日常障碍物(Arnott, Thaler, Milne, Kish, & Goodale, 2013;A. J. Kolarik, Cirstea, Pardhan, & Moore, 2014;A. J. Kolarik, Scarfe, Moore, & Pardhan, 2017;帕帕多普洛斯,爱德华兹,罗文,和艾伦,2011;Teng, Puri, & Whitney, 2012;Teng & Whitney, 2011;泰勒,阿诺特,&古德尔,2011)。许多高阶视觉区域保留其功能专门化,并适应来自音景或舌声的听觉输入(O. Collignon, Lassonde, Lepore, Bastien, & Veraart, 2006;A. J. Kolarik et al., 2014;Striem-Amit & Amedi, 2014;Striem-Amit, Cohen等,2012;Thaler et al., 2011)。由于关键时期和可塑性之间的相互作用,康复工具的治疗价值可能随发病年龄而变化。关键时期缺乏视觉刺激导致的可塑性诱导的认知增强可能是早期视力丧失患者听觉康复更有效的基础(Voss, 2019)。后来的视力丧失改善了视力恢复手术的临床结果。在其他康复工作中加入神经调节剂可能会通过促进可塑性来增强其治疗潜力(Voss等人,2016)。虽然视力恢复可能是视神经病变患者理想的康复程序,但当视力无法恢复时,以听觉为基础的康复工具是有价值的和未充分利用的治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of Dendritic Cells in Post-Extraction Alveolar Bone Healing
Due to the extent humans rely on vision, sight restoration approaches are the predominant treatment option considered for optic neuropathy patients with vision loss. This trend is reflected in the wealth of research on sight restoration procedures. Patients with irreversible vision loss are left with limited treatment options due to the lack of research on alternative therapeutics and the prevalence of misdiagnosis (Jay, 2016; Weerasinghe & Lueck, 2016). Compensatory plasticity holds that auditory input can colonize the available cortical space in the visually deprived brain. The resulting enhancements in auditory cognition can be capitalized on by auditory-based rehabilitative tools. Sensory substitution devices have allowed visually deprived individuals to hear ‘colours’ and ‘shapes’, perceive their surroundings (O. Collignon, Champoux, Voss, & Lepore, 2011; Striem-Amit, Guendelman, & Amedi, 2012) and even read ‘written’ letters (Striem-Amit, Cohen, Dehaene, & Amedi, 2012) using soundscapes. VD echolocators navigate through daily obstacles using tongue clicks (Arnott, Thaler, Milne, Kish, & Goodale, 2013; A. J. Kolarik, Cirstea, Pardhan, & Moore, 2014; A. J. Kolarik, Scarfe, Moore, & Pardhan, 2017; Papadopoulos, Edwards, Rowan, & Allen, 2011; Teng, Puri, & Whitney, 2012; Teng & Whitney, 2011; Thaler, Arnott, & Goodale, 2011). Many higher order visual regions retain their functional specialization and adapt to auditory input from soundscapes or tongue clicks (O. Collignon, Lassonde, Lepore, Bastien, & Veraart, 2006; A. J. Kolarik et al., 2014; Striem-Amit & Amedi, 2014; Striem-Amit, Cohen, et al., 2012; Thaler et al., 2011). Due to the interaction between critical periods and plasticity, the therapeutic value of rehabilitative tools can vary with age of onset. Plasticity-induced cognitive enhancements from lack of visual stimulation during critical periods may underlie the greater efficacy of auditory-based rehabilitation for patients with early vision loss (Voss, 2019). Later vision loss improved the clinical outcome of sight restoration procedures. The addition of neuromodulators into other rehabilitative efforts may augment their therapeutic potential by promoting plasticity (Voss et al., 2016). While sight restoration may be the ideal rehabilitative procedure for optic neuropathy patients, auditory-based rehabilitative tools are valuable and underutilized treatment options when vision cannot be recovered.
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