RU134044U1 - DEVICE FOR LANGUAGES OF THE LANGUAGE AFTER HEMIGLOSECTOMY - Google Patents

Abstract

Apparatus for myogymnastics of the tongue after hemiglossectomy, characterized in that it consists of: a removable individual replaceable myogymnastic element (SIZME), which is an orthodontic wire of various sections, bent for each patient individually and with a multifaceted bead of varying diameter sliding on it; a palatal plate made on an individual gypsum model, and in places where the SIZME is fixed, for greater strength, the base is thickened by half the thickness of the base wax, and a system of bent wire clasps to hold the device on the teeth of the upper jaw; the myogymnastic element is installed in the palatine plate, where the most problematic movements of the tongue, fixation is carried out in the blind holes of the apparatus base by tensioning the wire element.

Description

The utility model relates to medicine, and can be used in practical dentistry.

There are a number of diseases in which surgical interventions on the tissues of the tongue are indicated. These include malignant tumors and tumor-like processes, injuries, burns, etc. Relevant in our opinion is the treatment of cancer of the tongue. The most common type of surgery for tongue cancer so far is hemiglossectomy (half-resection of the tongue). This operation was first performed by the Pimperhell Dane in 1916. This operation entails severe violations of vital functions: speech, eating, traumatize the psyche of patients [1]. Such patients have difficulty chewing because for the formation of a physiologically correct food lump, more effort and time is required. The function of speech suffers as a result of a violation of the process of sound production and pronunciation, because the remaining half of the language assumes a position unusual for it in the norm and does not fully compensate for the entire volume of articulation movements. For early adaptation to new living conditions, such patients need a comprehensive, including speech.

Rehabilitation in medicine is a system of medical and pedagogical measures aimed at preventing and treating pathological conditions that can lead to temporary or permanent disability p [2].

Speech rehabilitation - restoration of the optimal functioning of the organs of the oral cavity and dento-maxillary system, impaired as a result of any pathology, accompanied by speech impairment [2].

For the speedy restoration of the functions of the tongue, myogymnastics is used, which includes sets of exercises for training the muscles of the tongue and a hardware method.

Among the known devices, the closest to the claimed one is the Mirru vestibular plate with a bead, which is shown in the presence of bad habits - sucking a finger, biting the lower lip, and also weakness of the muscles of the maxillofacial region - muscles of the tongue and circular muscle of the mouth (Dr. Hinz Dental Co.) [3]. This device (analogue) is used in milk and removable bites, consists of an extraoral ring, labial bumper, a process for fixing beads and beads to eliminate lethargy of the lingual muscle and setting the tongue in the correct position. Also known apparatus proposed by M.A. Danilova, E.A. Zalazaeva, V.A. Bronnikov [4]. This apparatus consists of a lip bumper, an extraoral ring, which is fixedly connected to the outer surface of the lip bumper along the line of closure of the lips, a process from a wire for fixing a bead, motionlessly connected to the inner surface of the lip bumper and having three bends located on each side, a bead, bite pad, motionlessly connected to the lip bumper and a visor on the incisors of the lower jaw, motionlessly connected to the bite pad.

The disadvantage of the apparatus, in our opinion, is the standard size (use only in milk and removable bites), the same type of arrangement and the inability to replace the myogymnastic element (beads on the wire), the standard path of movement and the diameter of the bead, unidirectional action.

Objective: to develop an individual apparatus for myogymnastics after hemiglossectomy.

The goal is achieved by improving and individualizing the vestibular plate of Mirra with a bead.

The proposed utility model is presented in the diagram, where in Fig. 1 is a top view of the apparatus; figure 2 - shows a side view of the apparatus. The apparatus consists of palatine plate 1 with clasps 2 and a removable, individual, replaceable myogymnastic element (SIZME). The palatine plate is made of medical hypoallergenic plastic, modeled on individual gypsum models, in the places where the SIZME is fixed, for greater strength, a thickening of the base is made by half the thickness of the base wax. To keep the device on the teeth of the upper jaw, a system of wire bent clasps is used. SIZME is an orthodontic wire of various cross sections 3, bent for each patient individually with a multifaceted bead of varying diameter 4 sliding on it. The myogymnastic element is installed in the palatine plate, where the most problematic movements of the tongue are. Fixation is carried out in the blind holes of the apparatus base by tensioning the wire element. The patient is given recommendations to try to touch the bead and move it along the path indicated by the wire. Myogymnastics time 2-3 hours a day. With the improvement and increase in the volume of movement of the tongue, the myogymnastic element is replaced by a new one with a more complex trajectory and a bead of a smaller diameter. These manipulations are carried out until the functions of the language in sufficient volume are restored.

Example. Patient B. 1947 He appealed to the Department of Orthopedic Dentistry and Orthodontics with complaints of insufficient chewing of food and speech impairment at the basic dental clinic of the SBEE HPE “RyazGMU of the Ministry of Health of the Russian Federation”. In the history of previous surgery, resection of the left half of the tongue about a malignant neoplasm. The examination revealed: insufficient volume of tongue movement on the left, affecting the process of chewing food and the formation of a food lump, as well as speech function. This patient is recommended myogymnastics of the tongue, aimed at compensatory restoration of insufficient range of motion. The patient was made an apparatus for myogymnastics after hemiglossectomy and recommendations were given for its use. After a course of hardware myogymnastics, the range of movements was restored, which positively affected the process of chewing food, the formation of a full-fledged food lump and the restoration of sound pronunciation. The result of treatment is positive, the prognosis is positive.

Thus, the use of the proposed apparatus for myogymnastics after resection of half of the tongue makes it possible to accelerate the rehabilitation period in such patients and improve the further quality of life.

Information sources.

1. Fedyaev I.M., Bayrikov I.M., Belova L.P., Shuvalova T.V. Malignant tumors of the maxillofacial region. - M: Medical book, N. Novgorod: Publishing house of the NMMD, 2000. - 160 p.

2. Korotkikh N.G., Nabatchikova L.P., Mitin N.E., Mishin D.N. / Features of psychological preparation and rehabilitation of children after surgical dental treatment / “Actual issues of pediatric dentistry and orthodontics”: Materials of the conference dedicated to the 10th anniversary of the Department of Pediatric Dentistry and Orthodontics of the First MGMU named after I.M.Sechenova. - Moscow 12/01/2012 - p. 39-40

3. L. S. Persin, V. M. Elizarova, S. V. Dyakova / Pediatric Dentistry. - M: Medicine, 2003 - 640 p.

4. Danilova M.A., Zalazaeva E.A., Bronnikov V.A. / Apparatus for the correction of myofunctional disorders in children with spastic forms of cerebral palsy. - Patent for utility model No. 116766 U1

Claims (1)

Apparatus for myogymnastics of the tongue after hemiglossectomy, characterized in that it consists of: a removable individual replaceable myogymnastic element (SIZME), which is an orthodontic wire of various sections, bent for each patient individually and with a multifaceted bead of varying diameter sliding on it; a palatine plate made on an individual gypsum model, and in places where the SIZME is fixed, for greater strength, the base is thickened by half the thickness of the base wax, and a system of bent wire clasps to hold the device on the teeth of the upper jaw; the myogymnastic element is installed in the palatine plate, where the most problematic movements of the tongue, fixation is carried out in the blind holes of the apparatus base by tensioning the wire element.

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