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Amplitude and speed of masticatory movements in total laryngectomy patients Please cite this article as: Pinheiro PF Jr, Albuquerque LCA, Lima-Silva CL, Silva NF, Cunha DA, Silva HJ. Amplitude and speed of masticatory movements in total laryngectomy patients. Braz J Otorhinolaryngol. 2014;80:138-45.

Introdution:

Laryngectomy is a surgical procedure that aims to remove the hyoid bone and the larynx and its muscles; it is inferred that a destabilization of the hyoid-mandibular axis will occur, consequently changing chewing.

Objective:

To characterize the amplitude and speed of chewing in laryngectomies and to compare them with two groups of non-laryngectomized individuals differentiated by age.

Method:

72 volunteers were divided into three groups: (A) 32 volunteers, mean age 22.3 years, 17 females; (B) 20 volunteers, mean age 53.2 years, 10 females, and (C) 20 volunteers who underwent total laryngectomy, mean age 61.5 years, one female. Electrognathography, a method that tracks and measures millimeter jaw movements, was used for evaluation.

Results:

Significant diferences were observed between groups A and C in masticatory amplitude and speed.

Conlcusion:

Age, and adaptive and compensatory changes appear to explain chewing better than factors related to total laryngectomy.

Electrophysiology; Rehabilitation; Aged


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