Electromyography Monitoring of Patients With Salivary Gland Diseases

Otolaryngology - Head and Neck Surgery - Tập 133 - Trang 869-873 - 2005
Michael Vaiman1, Oded Nahlieli1, Samuel Segal1, Ephraim Eviatar2
1Department of Otolaryngology, Assaf Harofeh Medical Center, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv
2Department of Maxillofacial Surgery, Barzilai Medical Center, Ashkelon, Israel

Tóm tắt

OBJECTIVE

To provide a description of surface electromyography (sEMG) of spontaneous saliva swallowing (SSS) and monitoring of swallow rate in patients with salivary gland diseases.

STUDY DESIGN

Numbers of SSS obtained during 2 hours of sEMG monitoring were compared with sialometry data for healthy volunteers (n = 100), patients with Sjögren syndrome (n = 10), and patients after parotid gland (n = 15) and submandibular gland (n = 16) surgery.

RESULTS

Normative: 1 SSS every 2 minutes and 15 seconds; Sjögren: 1 SSS every 13 minutes (P < 0.001); parotid gland surgery: 1 SSS every 3 minutes and 24 seconds (P = 0.26); submandibular gland surgery: 1 SSS every 5 minutes and 04 seconds (P < 0.05). Sjögren patients and patients after submandibular surgery had hyposalivation correlated with less SSS.

CONCLUSION

The established normal rate of SSS makes this modality applicable for evaluating salivary flow for potentially identifying and ruling out abnormalities. Parotid gland surgery does not significantly affect salivary flow rate. Sialometry combined with sEMG monitoring give a clinician more reliable data to evaluate salivary gland disorders than sialometry alone.

EBM RATING

B‐2


Tài liệu tham khảo

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Thông tin xuất bản

Otolaryngology - Head and Neck Surgery

Tập 133

869-873

Thông tin tác giả