Tongue pressure in patients with tongue cancer resection and reconstruction

Hamahata, Atsumori; Beppu, Takesi; Shirakura, Satoshi; Hatanaka, Akio; Yamaki, Takashi; Saitou, Takashi; Sakurai, Hiroyuki

doi:10.1016/j.anl.2014.05.023

Cited by 20 publications

(21 citation statements)

References 12 publications

(19 reference statements)

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“…Furthermore, measurement of TP involves not only the tongue muscles but also another muscles, such as the geniohyoid, which was not measured in this study . It has also been reported that measurement of TP is determined by body position, the natural position of the tongue in the oral cavity, the number of teeth remaining, location of the probe and the subject's age . Therefore, maximum isometric pressure can vary from person to person.…”

Section: Discussionmentioning

confidence: 87%

“…TP is an important indicator of the function of the tongue and swallowing during the oral phrase . Robbins et al developed a method that uses balloon air pressure to evaluate TP, which was also used in the present study.…”

Section: Discussionmentioning

confidence: 99%

“…TP is an important indicator of the function of the tongue and swallowing during the oral phrase. 27,28 Robbins et al developed a method that uses balloon air pressure to evaluate TP, which was also used in the present study. The probe shape resembles a food bolus, so the TP measured by the probe is a good indicator of swallowing function during the oral phase.…”

Section: Echo Intensity and Tpmentioning

confidence: 99%

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Association between echo intensity of the tongue and its thickness and function in elderly subjects

Ariya

Tohara

Nakagawa

et al. 2019

J of Oral Rehabilitation

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Summary Background The tongue plays an important role during the oropharyngeal phase of swallowing. Each part of the tongue has a different function during swallowing. Ageing causes changes in muscle quantity and quality. Qualitative changes, such as an increase in intramuscular adipose tissue, can be determined by the echo intensity (EI) of the tongue on ultrasonography (US). Objective To clarify the relationship between EI and thickness and function of the tongue. Methods Ninety‐four healthy elderly individuals (30 male, 64 female) aged >65 years (mean 71.10 ± 4.13 years) were enrolled. Tongue thickness (TT) and EI were determined by US. Tongue function was evaluated by measurement of tongue pressure and oral diadochokinesis (OD). Multiple regression analysis was used to identify the factor with the strongest influence on EI of the tongue. Results The mean thickness of the middle of the tongue was 40.42 ± 4.24 mm and that of the base was 23.35 ± 3.32 mm; the respective EI values were 46.54 ± 9.33 and 49.33 ± 9.83. The average OD rates for /ta/ and /ka/ were 5.73 ± 1.09 and 5.40 ± 1.00 times/s, respectively. Multiple regression analysis for EI showed that /ta/ (β = −2.518, P = 0.042) and thickness of the middle of the tongue (β = −1.278, P < 0.001) were significant independent variables. Similarly, the EI at the base of the tongue showed that /ka/ (β = −4.038, P = 0.021) and base of TT (β = −0.913, P = 0.004) were significant independent variables. Conclusion EI may be an indicator of TT and OD in both the middle and base of the tongue. Ultrasound is beneficial for evaluating TT and function.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Echo Intensity and Tpmentioning

confidence: 99%

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Association between echo intensity of the tongue and its thickness and function in elderly subjects

Ariya

Tohara

Nakagawa

et al. 2019

J of Oral Rehabilitation

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“…On one hand, the thickness of sensor has a great impact on the measurement, which varied from 0.1 to 1.2 mm . On the other hand, models of sensors in previous literature varied greatly as well: handheld pressure measurement devices were easy to operate, while the stability of measurement position depended on the operator to a large extent. And it might interfere with functional movement of tongue.…”

Section: Discussionmentioning

confidence: 99%

“…It is even associated with diseases like dysphagia, obstructive sleep apnea and malocclusions as well. The measurement of tongue pressure helps to evaluate the performance of tongue in resting state and functional movement, which has been widely applied in clinical research—tongue pressure and masticatory function in dysphagia patients; tongue pressure changes in patients with tongue cancer before and after resection and reconstruction; tongue pressure in adults with Down syndrome; tongue pressure of spinal and bulbar muscular atrophy patients, etc.…”

Section: Introductionmentioning

confidence: 99%

Tongue pressure distribution of individual normal occlusions and exploration of related factors

Gao

2018

J of Oral Rehabilitation

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Summary Background Tongue plays an important part in oral and maxillofacial system. Measurement of tongue pressure helps to evaluate the performance of tongue movement. Objectives To establish a system for measuring tongue pressure against hard palate and to preliminarily explore pressure distribution of individual normal occlusions and the relationship with dental arch form. Methods A total of 19 volunteers of individual normal occlusions out of 189 dental students met inclusion criteria (nine males, ten females, aged 25.53 ± 0.96 years). A force‐sensing resistor device was used to measure tongue pressure at rest and functional state (swallowing). We observed tongue pressure of four channel (anterior, posterior and lateral sides of hard palate) in sitting, supine position and swallowing. We analysed pressure differences according to gender and explored correlation relationship between tongue pressure and dental arch width and length using 3D digital maxillary image. Results In rest, tongue pressure against hard palate increased from front to back in both sitting and supine position, without gender differences. When swallowing saliva, the pressure at lateral sides of females was found significantly higher than that of males. Bivariate correlation analysis revealed duration of swallowing was positively correlated with BMI and weight at posterior region and positively correlated with palatal length at anterior palate. The greater the dental arch width, the smaller the pressure of swallowing in the anterior and lateral region. Conclusion In rest, there was consistent pressure of tongue against hard palate. The pressure increased significantly during swallowing, especially in females. Tongue pressure was related to dental arch length, width, BMI and weight.

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Changes in tongue pressure and dysphagia at oral cancer patients by palatal augmentation prosthesis

et al. 2021

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Background: The palatal augmentation prosthesis (PAP) is an intraoral prosthesis used in the treatment of dysphagia. Aim:The objective of the study is to examine the effect of PAP using tongue pressure and the Videofluoroscopic Dysphagia Scale (VDS) to understand the precise mechanism for improvement in swallowing function with PAP for oral cancer at retrospective survey.Methods and results: Fifteen patients were provided PAPs. Tongue pressure and VDS were evaluated with and without PAP. After intervention with PAP, tongue pressure significantly increased as compared to when without PAP (p < .05). The total mean VDS score with PAP was found to have significantly improved (p < .05). The mean VDS score of the oral phase also significantly improved with the PAP compared to without the PAP group (p < .05). Significant differences (p < .01) were found in each category, such as tongue to palate contact and pyriform sinus residue. Conclusion:PAP can improve tongue pressure, tongue to palate contact, and pyriform sinus residue.

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Tongue pressure in patients with tongue cancer resection and reconstruction

Cited by 20 publications

References 12 publications

Association between echo intensity of the tongue and its thickness and function in elderly subjects

Association between echo intensity of the tongue and its thickness and function in elderly subjects

Tongue pressure distribution of individual normal occlusions and exploration of related factors

Changes in tongue pressure and dysphagia at oral cancer patients by palatal augmentation prosthesis

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