[The rehabilitation of the tongue in hypoglossal-facial anastomosis]
Autor: | Gatignol, P., Cortadellas, A. L., Grandi, S., Tankere, F., Lobryeau, C., Wilier, J. C., Lamas, G. |
---|---|
Přispěvatelé: | Centre de Recherches de Royallieu (LG2MS), LG2MS (CENTRE DE RECHERCHE DE ROYALLIEU), Centre de Recherches de Royallieu (LABORATOIRE G2MS - LG2MS), LG2MS (CENTRE DE RECHERCHES DE ROYALLIEU), Centre de Recherches de Royallieu - LG2MS (CENTRE DE RECHERCHES DE ROYALLIEU - LG2MS), CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Laboratoire de la Cognition et du Comportement, Université Paris Descartes - Paris 5 (UPD5)-Centre National de la Recherche Scientifique (CNRS), Physiologie et physiopathologie de la motricité chez l'homme, Université Pierre et Marie Curie - Paris 6 (UPMC)-IFR70-Institut National de la Santé et de la Recherche Médicale (INSERM), Service de Neurochirurgie [CHU Pitié-Salpêtrière], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Centre de neuropsychologie et du langage, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU), Centre de Recherches de Royallieu ( LG2MS ), LG2MS ( CENTRE DE RECHERCHE DE ROYALLIEU ), Centre de Recherches de Royallieu ( LABORATOIRE G2MS - LG2MS ), LG2MS ( CENTRE DE RECHERCHES DE ROYALLIEU ), Centre de Recherches de Royallieu - LG2MS ( CENTRE DE RECHERCHES DE ROYALLIEU - LG2MS ), Assistance publique - Hôpitaux de Paris (AP-HP)-CHU Pitié-Salpêtrière [APHP], Université Paris Descartes - Paris 5 ( UPD5 ) -Centre National de la Recherche Scientifique ( CNRS ), Université Pierre et Marie Curie - Paris 6 ( UPMC ) -IFR70-Institut National de la Santé et de la Recherche Médicale ( INSERM ), Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-CHU Pitié-Salpêtrière [APHP] |
Jazyk: | francouzština |
Rok vydání: | 2007 |
Předmět: |
Male
Hypoglossal Nerve Time Factors MESH : Deglutition MESH: Speech Intelligibility MESH : Aged MESH : Speech Intelligibility MESH : Phonation MESH : Facial Nerve Postoperative Complications MESH: Postoperative Period MESH: Postoperative Complications MESH : Female Longitudinal Studies Postoperative Period MESH : Atrophy MESH: Phonation MESH: Longitudinal Studies MESH : Longitudinal Studies MESH: Aged MESH: Middle Aged MESH : Tongue MESH: Tongue Anastomosis Surgical MESH: Follow-Up Studies MESH : Adult Middle Aged Facial Nerve MESH: Hypoglossal Nerve MESH : Facial Paralysis Female MESH: Facial Paralysis MESH : Time Factors MESH : Anastomosis Surgical Adult MESH : Male Facial Paralysis MESH: Atrophy MESH: Facial Nerve stomatognathic system Phonation Tongue Humans MESH : Middle Aged Aged MESH : Postoperative Period MESH: Humans [SDV.BA.MVSA]Life Sciences [q-bio]/Animal biology/Veterinary medicine and animal Health MESH : Humans MESH: Time Factors Speech Intelligibility MESH : Follow-Up Studies MESH: Adult MESH: Male Deglutition stomatognathic diseases MESH: Deglutition MESH : Postoperative Complications MESH : Hypoglossal Nerve [ SDV.BA.MVSA ] Life Sciences [q-bio]/Animal biology/Veterinary medicine and animal Health Atrophy MESH: Female MESH: Anastomosis Surgical Follow-Up Studies |
Zdroj: | Revue de Laryngologie Otologie Rhinologie Revue de Laryngologie Otologie Rhinologie, 2006, 127 (5), pp.327-33 Revue de Laryngologie Otologie Rhinologie, Revue de Laryngologie, 2006, 127 (5), pp.327-33 |
ISSN: | 0035-1334 |
Popis: | End to end hypoglossal-facial nerve anastomosis (tt HFA) is a traditional technique for rehabilitation of facial palsy. The sacrifice of the hypoglossal nerve generates a paralysis and an atrophy of the tongue which is thought to lead to speech, chewing and swallowing disorders. In a previous study, we demonstrated that tt HFA does not lead to speech disorders (Gatignol et al 2003). OBJECTIVES: In this work, we were interested in the functional consequences of the lingual atrophy and in the possibilities of rehabilitation with early therapy. MATERIAL AND METHODS: Nine patients were distributed in two groups, in one patients received a specific and early lingual rehabilitation in the other no specific treatment. These two groups (paired with control subjects) were subjected to a series of tests studying the motor function, the articulation (using palatograms). RESULTS: This study highlights the interest of early rehabilitation of the tongue in the first post-operative days. Early rehabilitation was associated with a reduction in lingual atrophy, an improvement in motility of the tongue thus generating a better management of saliva and stagnant food in the oral vestibule on the paralysed side. |
Databáze: | OpenAIRE |
Externí odkaz: |