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D Engelke

Publications and source records attributed to D Engelke.

21 records · Page 2Linked to original sources

[2 objective procedures for the assessment of motor functions after surgery of the tongue and velum].

Commonly, only radiographic procedures have been used up to now for the assessment of intraoral movements during swallowing, speech and voluntary motor activities. In this article two methods for assessing intraoral function without involving radiation exposure are described: palatography and electromagnetic articulography. Palatography is particularly useful as a screening procedure for the evaluation of certain lingual motor activities in patients who had undergone tumor surgery. Electromagnetic articulography (EMA) allows vector analyses of lingual and soft palate movements. Data of normal subjects, surgically treated cleft palate and tumor patients are demonstrated. Both methods are biologically safe and non-invasive and do not interfere to any significant degree with the functions to be analysed.

Deglutition

[Primary sulcoplasty with hydroxylapatite augmentation for extreme ridge resorption].

Hydroxylapatite is commonly used for augmentation of the atrophic alveolar ridge. A new surgical technique is described for HA-augmentation and simultaneous vestibuloplasty on the severely atrophic jaw. The open surgical technique includes a lingually based mucoperiostal flap, the implantation of Hydroxylapatite particles in a vicryl mesh and the use of a positioning splint. First results show a sufficient depth of the vestibular sulcus and only few complications (circumscripted mucosal erosions). No lateral or lingual dislocation of the implanted HA-particles and no permanent mental nerve anaesthesia were observed. The prosthodontic results show increased stability and retention of the dentures following the one stage surgery.

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