論文

査読有り 筆頭著者
2017年12月

The effect of bolus volume on laryngeal closure and UES opening in swallowing: Kinematic analysis using 320-row area detector CT study

JOURNAL OF ORAL REHABILITATION
  • S. Shibata
  • ,
  • Y. Inamoto
  • ,
  • E. Saitoh
  • ,
  • H. Kagaya
  • ,
  • Y. Aoyagi
  • ,
  • K. Ota
  • ,
  • R. Akahori
  • ,
  • N. Fujii
  • ,
  • J. B. Palmer
  • ,
  • M. Gonzalez-Fernandez

44
12
開始ページ
974
終了ページ
981
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1111/joor.12573
出版者・発行元
WILEY

This study investigated the effects of three different volumes of honey-thick liquid on the temporal characteristics of swallowing. Twenty-six healthy subjects (15 males, 11 females) underwent 320-row area detector CT scan while swallowing 3, 10 and 20mL of honey-thick liquid barium. Three-dimensional images were created at 10images/s. Kinematic events involving six structures (velopharynx, hyoid bone, epiglottis, laryngeal vestibule (LV), true vocal cords (TVC), upper esophageal sphincter (UES)) and timing of bolus movement were timed using frame by frame analysis. The overall sequence of events did not differ across three volumes; however, increasing bolus volume significantly changed the onset and termination of events. The bolus head reached to pharynx and esophagus earlier and the duration of bolus passing through UES was significantly longer in 10 and 20mL compared to 3mL (P<.05). Consequently, the onset of UES opening was significantly earlier with increased volume (P<.05). LV and TVC closure occurred later in 20mL compared to 3mL (P<.05). These changes in motion of pharynx and larynx appeared to promote swallow safety by preventing aspiration, suggesting that anatomical structure movements adapt in response to bolus volume. Our findings also suggest that the pharyngeal swallow behaviours may be modified by afferents in the oral cavity. The three-dimensional visualization and quantitative measurements provided by 320-ADCT provide essential benchmarks for understanding swallowing, both normal and abnormal.

リンク情報
DOI
https://doi.org/10.1111/joor.12573
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/28891595
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000414577300007&DestApp=WOS_CPL
ID情報
  • DOI : 10.1111/joor.12573
  • ISSN : 0305-182X
  • eISSN : 1365-2842
  • PubMed ID : 28891595
  • Web of Science ID : WOS:000414577300007

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