Assessing stomatognathic performance after mandibulectomy according to the method of mandibular reconstruction

The aim of this study was to investigate stomatognathic performance after mandibulectomy. Twenty-six subjects were classified into two groups: the mandibular continuity (MC) group were reconstructed and kept in MC, while the mandibular non-continuity (MNC) group lost MC. Stomatognathic performance w...

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Published in	International journal of oral and maxillofacial surgery Vol. 44; no. 8; pp. 948 - 955
Main Authors	Ishida, S., Shibuya, Y., Kobayashi, M., Komori, T.
Format	Journal Article
Language	English
Published	Denmark Elsevier Ltd 01.08.2015
Subjects	Aged Aged, 80 and over Child Electromyography Female Humans Male Mandible - physiology Mandible - surgery mandibular movement Mandibular Neoplasms - surgery mandibular reconstruction Mandibular Reconstruction - methods mandibulectomy Mastication - physiology masticatory muscles Masticatory Muscles - physiology masticatory performance Middle Aged Muscle Fatigue - physiology Oral Health Sickness Impact Profile stomatognathic performance Surgery Surgical Flaps Surveys and Questionnaires masticatory performance masticatory muscles mandibulectomy mandibular movement mandibular reconstruction stomatognathic performance
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Abstract	The aim of this study was to investigate stomatognathic performance after mandibulectomy. Twenty-six subjects were classified into two groups: the mandibular continuity (MC) group were reconstructed and kept in MC, while the mandibular non-continuity (MNC) group lost MC. Stomatognathic performance was evaluated using the Oral Health Impact Profile in Japanese (OHIP-J), a colour-changing chewing gum, a gummy jelly, Sato's questionnaire, electromyography (EMG) of the masticatory muscles, and mandibular movement. The OHIP-J and modified Sato's questionnaire revealed that the physical and eating disability of the MNC group was significantly more severe than that of the MC group (P<0.05). The mean EMG activity of the anterior temporalis muscle in the relaxed state was significantly higher in the MNC group than in the MC group (P<0.05). The mean masticating/relaxing ratio of EMG activities for the masseter muscle was lower in the MNC group than in the MC group (P<0.05). The maximum mouth opening range of the MNC group was greater than that of the MC group (P<0.05). Accordingly, the MC group had good results for physical and eating ability. The MNC group suffered from muscle fatigue but had the advantage of a greater maximum mouth opening range.
AbstractList	The aim of this study was to investigate stomatognathic performance after mandibulectomy. Twenty-six subjects were classified into two groups: the mandibular continuity (MC) group were reconstructed and kept in MC, while the mandibular non-continuity (MNC) group lost MC. Stomatognathic performance was evaluated using the Oral Health Impact Profile in Japanese (OHIP-J), a colour-changing chewing gum, a gummy jelly, Sato's questionnaire, electromyography (EMG) of the masticatory muscles, and mandibular movement. The OHIP-J and modified Sato's questionnaire revealed that the physical and eating disability of the MNC group was significantly more severe than that of the MC group (P<0.05). The mean EMG activity of the anterior temporalis muscle in the relaxed state was significantly higher in the MNC group than in the MC group (P<0.05). The mean masticating/relaxing ratio of EMG activities for the masseter muscle was lower in the MNC group than in the MC group (P<0.05). The maximum mouth opening range of the MNC group was greater than that of the MC group (P<0.05). Accordingly, the MC group had good results for physical and eating ability. The MNC group suffered from muscle fatigue but had the advantage of a greater maximum mouth opening range. Abstract The aim of this study was to investigate stomatognathic performance after mandibulectomy. Twenty-six subjects were classified into two groups: the mandibular continuity (MC) group were reconstructed and kept in MC, while the mandibular non-continuity (MNC) group lost MC. Stomatognathic performance was evaluated using the Oral Health Impact Profile in Japanese (OHIP-J), a colour-changing chewing gum, a gummy jelly, Sato's questionnaire, electromyography (EMG) of the masticatory muscles, and mandibular movement. The OHIP-J and modified Sato's questionnaire revealed that the physical and eating disability of the MNC group was significantly more severe than that of the MC group ( P < 0.05). The mean EMG activity of the anterior temporalis muscle in the relaxed state was significantly higher in the MNC group than in the MC group ( P < 0.05). The mean masticating/relaxing ratio of EMG activities for the masseter muscle was lower in the MNC group than in the MC group ( P < 0.05). The maximum mouth opening range of the MNC group was greater than that of the MC group ( P < 0.05). Accordingly, the MC group had good results for physical and eating ability. The MNC group suffered from muscle fatigue but had the advantage of a greater maximum mouth opening range.
Author	Ishida, S. Komori, T. Kobayashi, M. Shibuya, Y.
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Cites_doi	10.1016/0022-3913(92)90596-3 10.1016/j.jpainsymman.2006.12.019 10.1016/S1010-5182(05)80215-X 10.1016/j.jpor.2012.02.001 10.1016/0022-3913(75)90042-6 10.1097/00005537-199810000-00028 10.1111/j.1365-2842.2006.01690.x 10.2334/josnusd.46.113 10.1371/journal.pone.0094138 10.1016/j.jpor.2009.02.003 10.1177/00220345500290040701 10.1111/j.1600-0722.2009.00675.x 10.1288/00005537-199109000-00004 10.1016/S0003-9969(02)00014-6 10.1111/j.1365-2842.1992.tb01104.x 10.1177/0018720813482328 10.1016/j.jpor.2009.08.001 10.1111/j.1365-2842.2007.01814.x 10.1288/00005537-199004000-00007 10.1111/j.1365-2842.2005.01483.x 10.1002/(SICI)1097-0347(199707)19:4<287::AID-HED7>3.0.CO;2-X 10.1016/j.prosdent.2005.03.013 10.1016/0022-3913(90)90078-Q 10.1111/j.1365-2842.2008.01917.x 10.1016/0030-4220(72)90315-5 10.1111/joor.12023 10.1016/0022-3913(89)90047-4
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Keywords	masticatory performance masticatory muscles mandibulectomy mandibular movement mandibular reconstruction stomatognathic performance
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Snippet	The aim of this study was to investigate stomatognathic performance after mandibulectomy. Twenty-six subjects were classified into two groups: the mandibular... Abstract The aim of this study was to investigate stomatognathic performance after mandibulectomy. Twenty-six subjects were classified into two groups: the...
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SubjectTerms	Aged Aged, 80 and over Child Electromyography Female Humans Male Mandible - physiology Mandible - surgery mandibular movement Mandibular Neoplasms - surgery mandibular reconstruction Mandibular Reconstruction - methods mandibulectomy Mastication - physiology masticatory muscles Masticatory Muscles - physiology masticatory performance Middle Aged Muscle Fatigue - physiology Oral Health Sickness Impact Profile stomatognathic performance Surgery Surgical Flaps Surveys and Questionnaires
Title	Assessing stomatognathic performance after mandibulectomy according to the method of mandibular reconstruction
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