- 著者
-
梅田 慈子
三串 伸哉
天笠 光雄
小村 健
植松 宏
- 出版者
- Tokyo Medical and Dental University (TMDU)
- 雑誌
- Journal of Medical and Dental Sciences (ISSN:13428810)
- 巻号頁・発行日
- vol.58, no.2, pp.69-77, 2011 (Released:2016-09-12)
- 参考文献数
- 26
Objectives: This study investigated the effects
of reclining position on swallowing functions
in the patients who had undergone surgery for
oral tumors. Subjects and Methods: 53 Patients
after oral tumor surgery who had undergone the
videofluoroscopic swallowing study in the sitting
position and reclining position were sampled. We
measured Oral transit time (OTT), Pharyngeal
transit time (PTT), Penetration-Aspiration scale,
Locating of the leading edge of bolus at swallow
onset, Route of bolus transit and Transit velocity.
Results: Laryngeal penetration and aspiration were
less likely to occur in the reclining position. The
mean OTT was significantly shorter in the reclining
position than in the sitting position. The leading
edge of bolus at swallow onset was significantly
lower in the reclining position than in the sitting
position. The bolus went along the posterior wall
of the pharynx in more patients in the reclining
position. The mean PTT and the transit velocity
did not significantly differ between the reclining
position and the sitting position. Conclusion: This
study suggested that, in patients after surgery
on oral tumors, the reclining position is a useful
posture to aid oral transit and to readily prevent
aspiration and laryngeal penetration.