THE METHOD OF ASSESSING THE DEGREE OF GLOSSOPTOSIS ACCORDING TO CLINICAL AND X-RAY ANTHROPOMETRICAL PREDICTORS: CLINICAL GUIDELINES.

The article provides a description of the clinical application of the authors' method of quantitative assessment of the degree of severity of glossoptosis based on clinical and X-ray anthropometric indicators (predictors). In the presentation of the scale for assessing clinical predictors (head position, shape of the palate, frenulum of the tongue, posture of the tongue by dr. John Mew, size of the palate), functional predictors (functional test with a bucket of water, index of degree of difficulty of tracheal intubation by dr. Seshagiri Rao Mallampati, degree of tongue elevation impairment for dr. S. Zaghi), X-ray - anthropometric indicators, (assessment of the position of the hyoid cyst along the C3-RGn line, type of slit growth). Each predictor was assessed by the number of scores. The sum of points according to all criteria indicated the level of importance of glossoptosis: mild severity - 0-20 points; moderate severity - 21-48 points; severe - 49 - 76 points. The algorithm for assessing the stage of glossoptosis is illustrated with a clinical case. The aim of the study - to improve the diagnosis of glossoptosis by determining clinical and X-ray anthropometric predictors of quantitative assessment of its severity. Results and discussion. As a result of the analysis of literature data and our own clinical studies, we have developed a methodology for the quantitative assessment of glossoptosis based on clinical and X-ray anthropometric predictors, namely: clinical predictors (head position, palate shape, tongue frenulum, tongue posture according to John Mew, the size of the palatine tonsils), functional predictors (functional test with a sip of water, the difficulty index of tracheal intubation according to Mallampati, the degree of tongue elevation according to S. Zaghi), X-ray - anthropometric predictors (estimation of the position of the hyoid bone relative to the C3-RGn line, type jaw growth) Conclusions. As a result of the analysis of special literature over the last 10 years and the conducted own clinical and additional examinations of 168 patients, a method of quantitative assessment of the severity of glossoptosis based on clinical and X-ray anthropometric indicators (predictors) was developed. It allows not only to detect the presence of glossoptosis, but also to quantitatively assess its severity: light - 0-20 points; average - 21-48 points; difficult - 49 - 76 points. What will allow us to plan orthodontic treatment, individualize myofunctional correction programs and motivate parents for successful cooperation with the doctor during the active period and during the retention period.