Functional Appliances like the Myobrace is used in conjunction with myofunctional therapy in order to aid in elimination of bad habits and help restore proper nasal breathing through strengthening of the muscles of the airway including the lips, the cheeks and the tongue. For example, you may be able to avoid the use ofcontinuous positive airway pressure (CPAP)or evensurgery. -Co . 8600 Rockville Pike In addition, the therapy has been used in other conditions. From square nots to horizontal mattresses and more, join Dr. Kevin Coppelson (Oral Maxillofacial Surgeon) for this engaging program designed for anyone wanting to improve their needlework. The https:// ensures that you are connecting to the Keywords: - Katie Romero, RDH, OMT More hands-on learning For those ready to take the next step in providing truly comprehensive care for airway health and sleep disordered breathing. Don't hesitate to contact uswith any medical questions you may have. The results of this therapy is proper function which helps grow and develop the jaws, the face and most importantly the AIRWAY! This site needs JavaScript to work properly. government site. Academy of Orofacial Myofunctional Therapist: Please Note: The information on this site is solely for purposes of general patient education, and may not be relied upon as a substitute for professional medical care. A low tongue rest posture habit can be lasting even if the causative factors are corrected ie. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. Case study 3 year-old girl with sleep-disordered breathing, swallow, and speech issues treated with myofunctional therapy and minor surgical procedure (tongue-tie and lip-tie release). You can also call Medi-Cal Rx Customer Service at 1-800-977-2273, 24 hours a day, 7 days a week (TTY 711 Monday through Friday, 8 a.m. to 5 p.m.). Four hundred twenty consecutive patients (ages 29 months to 79 years) treated with myofunctional therapy and lingual frenuloplasty for indications of mouth breathing, snoring, dental clenching, and/or myofascial tension were surveyed. Bethesda, MD 20894, Web Policies 2020 Nov;75:210-217. doi: 10.1016/j.sleep.2020.08.003. Exercise 2:Touch Nose - Stick out your tongue and try to touch the tip of your nose and hold for 10 seconds, then relax. What a great analogy, they do NOT replace myofunctional therapy . Orofacial Myofunctional Disorders (OMDs)affect the functions and muscles of the mouth and face. In total, 45 minutes per day should be devoted to the therapy. 2022 Jul 15;9(7):1057. doi: 10.3390/children9071057. 2022 Soroush Zaghi, M.D. In children, establishing this good resting tongue posture is critical for good facial growth and airway development. Laryngoscope. CI, confidence, Adult premyofunctional and postmyofunctional therapy outcomes for Epworth Sleepiness Scale. Los Angeles Your pharmacy can tell you if it is part of the Medi-Cal Rx network. Dans cet pisode consacr la nutrition artificielle chez l'enfant, nous voquerons avec Audrey les objectifs orthophoniques qui peuvent tre poursuivis en parallle de la mise en place de ce disposi. Early Childhood Caries and Sleep Disorders. Case example: 6yearold girl with restless sleep, nail biting, dental grinding, and open mouth breathing presenting with grade 3 compensating to grade 2 tongue mobility. People with trouble speaking clearly, swallowing problems, or muscle weakness of the mouth may benefit from these exercises. Gastroesophageal reflux disease (GERD)or heartburn. Federal government websites often end in .gov or .mil. But Baldassari says there isn't sufficient. If you want to find a Medi-Cal pharmacy outside of Kaiser Permanente, you can use the Medi-Cal Rx Pharmacy Locator online at www.Medi-CalRx.dhcs.ca.gov. Review methods: Dr. Soroush Zaghi is a ENT-Otolaryngologist in Los Angeles, CA. We know that mouth breathing affects the resting position of the facial and tongue muscles, often mouth breathers experience a wide variety of signs and symptoms from early development to later in life consequences. Myofunctional therapy can help enable one to enjoy eating, speaking, breathing, and even sleeping more soundly. Learn from leaders in the field all about the village it takes to optimally support the most vulnerable patient populations and much more, from feeding, to feelings, to function! Adults of all ages are capable of achieving success in treatment. Background: -, Yoon A, Zaghi S, Ha S, Law C, Guilleminault C, Liu S. Ankyloglossia as a risk factor for maxillary hypoplasia and soft palate elongation: a functionalmorphological study. Lingual and Maxillary Labial Frenuloplasty with Myofunctional Therapy as a Treatment for Mouth Breathing and Snoring. (10 peer-reviewed publications: 4 original articles,2 review articles,4 case reports) - Harvard Medical School: PASTEUR Program,Clinical Trial Scholar. The best solution is to get a referral to your oral surgeon for a frenectomy during your myofunctional therapy to ensure the lingual frenum does not reattach and to achieve maximum . 2022 Dec;42(6):492-501. doi: 10.14639/0392-100X-N2211. -Studied role of innate immunity in Alzheimer's disease in a basic sciences research lab under Dr. Milan Fiala. Level of evidence: LOVE hearing is Dr. Loria discusses the use of myofunctional appliances and describes them as training wheels for myofunctional therapy. Web of Science, Scopus, MEDLINE, and The Cochrane Library. In-person, telephone, video, and alternative modes of communication are available. 2015 Associated Professional Sleep Societies, LLC. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Methods: Four hundred twenty consecutive patients (ages 29 months to 79 years) treated with myofunctional therapy and lingual frenuloplasty for indications of mouth breathing, snoring, dental clenching, and/or myofascial tension were surveyed. FOIA Heit T, Tablizo BJ, Salud M, Mo F, Kang M, Tablizo MA, Witmans M. Children (Basel). All procedures were performed by a single surgeon using a scissors and suture technique. Dr. Zaghi is particularly interested in studying the impact of tethered-oral tissues (such as tongue-tie) andoral myofascial dysfunction on maxillofacial development,upper airway resistance syndrome, and obstructive sleep apnea. TLDR: Dr. Zaghi lectures for the International Surgical Sleep Society (ISSS) in support of Myofunctional Therapy and Functional Frenuloplasty as a safe and effective treatment methodology for certain sleep and airway issues. OMDs can cause a variety of effects either directly or indirectly. The midline sagittal image reconstruction of the CT scan is used to assess the available space for the tongue in the oral cavity. Powered by Juniper Group Media, 2021 Pain & Sleep Therapy Center of the Delaware Valley, Advanced Lightwire Functional Appliance (A.L.F.). Federal government websites often end in .gov or .mil. Upper Airway Resistance Syndrome - When snoring and resistance through the airway is significant enough to disrupt the quality of sleep. and transmitted securely. (#2) After MMA/ Orthognathic / Expansion surgery, (#3) After Frenuloplasty / Frenectomy Surgery, (#4) Glossary of Myofunctional Therapy Exercises, Academy of Orofacial Myofunctional Therapist:Find a therapist near you. Consult your own physician for evaluation and treatment of your specific condition. Mouth breathing affects the levels of oxygen and carbon dioxide that are in the body. Myofunctional Therapy to Treat Obstructive Sleep Apnea: A Systematic Review and Meta-analysis Current literature demonstrates that myofunctional therapy decreases apnea-hypopnea index by approximately 50% in adults and 62% in children. The author continues by stating that there have been no objective studies examining effects on OSA since that time. We would like to ensure our readers that we are in the process of finalizing the data collection from our objective follow-up study, however the limitations of human research during COVID-19 caused us to experience a huge set back. I believe that the management of chronic pain is multimodal, requiring different types of medications, injections, therapy (both cognitive and physical), complementary medicine, as well as member-directed increase in activity and functioning. Follow us on these external social media sites that will open in a new browser window. Myofunctional therapy may be an attractive alternative treatment for sleep apnea. There were no major complications. Sleep Disorders Zhang F, Tian Z, Shu Y, Zou B, Yao H, Li S, Li Q. J Oral Rehabil. Kaiser Permanente uses the same geographic distribution consideration to select hospitals in Marketplace plans as it does for all other Kaiser Foundation Health Plan (KFHP) products and lines of business. You can also call the Medical Board of California at 916-263-2382, orvisit their website. A low tongue rest position (or posture) is either a necessity or a habit. Sleep Sci. Join Dr. Soroush Zaghi and TBI for a dynamic learning experience covering research, clinical care, and continuing education Therapy for adult patients is typically efficient. Dr Soroush Zaghi - The Breath Institute: Barry: Musikant: Essential Dental Systems: Marty: Nager: No relevant financial relationships to disclose . Case Report and Systematic Review. - HMS Maimonides Society,Co-Director (2007-2008), Residency: Head and Neck Surgery (2011-15), Maxillofacial and Airway Reconstruction Surgery, Instructor of Otolaryngology- Head and Neck Surgery, Functional Approach to ENT - Sleep and Breathing: Adults and Pediatrics. Nasal Valve Collapse- A relatively common cause of nasal obstruction characterized by collapse of the cartilaginous part of the nasal tip with inspiration. TLDR: Dr. Zaghi lectures for the International Surgical Sleep Society (ISSS) in support of Myofunctional Therapy and Functional Frenuloplasty as a safe and e. Efficacy of Various Laser Wavelengths in the Surgical Treatment of Ankyloglossia: A Systematic Review. Use of computed tomography imaging to assess for tongue space in the assessment of candidates for lingual frenuloplasty. TMJ & Sleep Therapy Centre of New England . Bethesda, MD 20894, Web Policies New York, NY, USA: Tandem Publications; 1998. -, Gross AM, Kellum GD, Hale ST, et al. 2021 Jun;48(6):692-700. doi: 10.1111/joor.13144. Clinical interests: Sleep and Breathing Disorders, Tongue-tie, Snoring, Obstructive Sleep Apnea,Nasal Obstruction, Upper Airway Resistance Syndrome, Inspiratory Flow Limitation, Sleep Endoscopy, Deviated Septum, Tonsil Hypertrophy, TMJ Pain, Teeth-grinding, Mouth Breathing, Frenuloplasty, Tonsillectomy, Septoplasty, Turbinate Reduction, Vivaer Nasal Valve Remodeling,Maxillary Skeletal Expansion, MMA Jaw Surgery. Flow diagram demonstrating myofunctional therapy for obstructive sleep apnea (OSA) study selection. Zaghi and others also promote myofunctional therapy, sometimes in conjunction with frenuloplasty, as a treatment for obstructive sleep apnea. Once your procedure is over, help it find some closure by gaining the confidence to suture. Myofunctional therapy is also an important adjunct to numerous orofacial surgeries such as frenuloplasties, and mandibular advancements. This program, led by Robyn Merkel-Walsh, is designed to help navigate the realms of ethics and scope of practice for healthcare professionals and their teams. 2022 Dec 27;12(1):201. doi: 10.3390/jcm12010201. Adult premyofunctional and postmyofunctional therapy outcomes for apnea-hypopnea index (events per hour). The searches were performed through June 18, 2014. In this lecture from the American laser Study Club Symposium in Del Rey Beach, FL in 2020; Dr. Zaghi provides updates and results from ongoing research at Th. . Restoration Smiles Dental . Life (Basel). Resource #3:YouTube.com -- Dr. Audrey Yoon, DDS (Pediatric Dentist andOrthodontist). Repeat 10 times. Try to keep it parallel to the floor. 2023 Jan 31;13(2):387. doi: 10.3390/life13020387. Current literature demonstrates that myofunctional therapy decreases apnea-hypopnea index by approximately 50% in adults and 62% in children. Video:UCLA Research Presentation. Govardhan C, Murdock J, Norouz-Knutsen L, Valcu-Pinkerton S, Zaghi S. Case Rep Otolaryngol. For the hearing and speech impaired: 1-800-464-4000 (toll free) or TTY 711 (toll free). Stick it out as far as you can while keeping it folded and hold for 10 seconds, then relax. Kiddie Smiles 01740 . Efficiency of oro-facial myofunctional therapy in treating obstructive sleep apnoea: A meta-analysis of observational studies. Int J Environ Res Public Health. Kaiser Permanente uses the same quality, member experience, or cost-related measures to select practitioners and facilities in Marketplace Silver-tier plans as it does for all other Kaiser Foundation Health Plan (KFHP) products and lines of business. Results: Would you like email updates of new search results? Immediate postoperative images show excision of the mucosal frenulum and submucosal myofascial fibers with primary intention closure using 40 chromic suture. 5, Fuxing Street, Guishan, Taoyuan 333, Taiwan. Effectiveness of Myofunctional Therapy in Ankyloglossia: A Systematic Review. Sleep expert Dr. Zaghi taking questions! (In many cases eliminating the need for future orthodontics). Case Report and Systematic Review. Epub 2020 Aug 10. The exercises prescribed are often modified and individually-tailored as appropriate according to a step-by-steptreatment plan under the guidance of an experienced therapist. Gonzlez Garrido MDP, Garcia-Munoz C, Rodrguez-Huguet M, Martin-Vega FJ, Gonzalez-Medina G, Vinolo-Gil MJ. Dr. Loria is the first recipient of the Dr. Soroush Zaghi Award for application of evidence-based protocols to the community at the AAPMD's . Accessibility Myofunctional therapy could serve as an adjunct to other obstructive sleep apnea treatments. It does not have to be a Kaiser Permanente network pharmacy. (2019). The Zaghi technique is a more refined approach to this procedure. Unable to load your collection due to an error, Unable to load your delegates due to an error. Sign In PMC 2023 Feb 9;12(4):1378. doi: 10.3390/jcm12041378. To systematically review the literature for articles evaluating myofunctional therapy (MT) as treatment for obstructive sleep apnea (OSA) in children and adults and to perform a meta-analysis on the polysomnographic, snoring, and sleepiness data. Contact Us, Home Would you like email updates of new search results? Qualified interpreter services, including sign language, are available at no cost, 24 hours a day, 7 days a week during all hours of operations at all points of contact. Contact Us, Privacy Policy. To find: a provider's office hours, search our facility directory. I am currently receiving fellowship training in Sleep Surgery with . SnoringA loud, hoarse or harsh breathing sound that comes from loose, relaxed tissues that vibrate while breathing during sleep. Ankyloglossia is a condition of altered tongue mobility due to the presence of restrictive tissue between the undersurface of the tongue and the floor of mouth. Dr. Zaghi graduated from Harvard Medical School,completedresidency inENT (Otolaryngology-Head andNeck Surgery) at UCLA, and Sleep Surgery Fellowship at Stanford University. Keep the tongue straight and don't let it point downwards. -----------Dr. Zaghi was recently invited to present and contribute to a debate about the pros and cons of myofunctional therapy and frenuloplasty as part of a series of online lectures developed for the International Surgical Sleep Society (ISSS).For those who are not aware of the ongoing controversy, a previous blog post by Dr. Eric Kezarian claimed that: There is no proven benefit to oral myofunctional therapy or frenuloplasty for the treatment of obstructive sleep apnea in adults as it is commonly practiced in the United States. Patient Portal Mossmann Family Dental, P.C. The approach to therapy emphasizes training in the correct resting postures of the tongue and lips all with the goal of facilitation proper nasal/diaphragm breathing. : Lingual Frenuloplasty With Myofunctional Therapy 4 3.3 2.6 days with seve rity rating of 6.5 1.9 ( VAS: 0 - 10, Sarah Hornsby receives financial compensation as owner of Faceology - an online myofunctional therapy practice that treats patients with orofacial myofunctional disorders and related symptoms. Similar regimen that includes pictures and references formore detailed instructions. In addition, the therapy has been used in other conditions. 2022 Jul;49(7):734-745. doi: 10.1111/joor.13325. All Kaiser Permanente physicians and podiatrists have admitting privileges or the ability to refer patients to our plan hospitals. Department, 2620 Las Posas Rd Frenectomy for the Correction of Ankyloglossia: A Review of Clinical Effectiveness and Guidelines [Internet]. Having a myofunctional therapist assist during surgery, as well as preparing the patient for surgery and then post-op as well, is just an excellent way to practice. Nasal Obstruction A common complaint of blockage or having difficulty breathing out of one or both the nostrils that is caused by inflammatory or structural problems of the nose. Note that despite both patients having similarly restricted amount of posterior airway space, the patient on left has no space between the tongue and the palate (poor candidate), while the patient on the right has a significant amount of space between the tongue and the palate (better candidate). Cutting-edge Techniques , Updates On Protocols, and Latest Research On The Who, What, Why, & How Of Orthodontic/Palate Expanders & More! Disclaimer. Craniofacial Sleep Medicine: The Important Role of Dental Providers in Detecting and Treating Sleep Disordered Breathing in Children. 2019 Mar 10;2019:3408053. doi: 10.1155/2019/3408053. Admitting privileges of other providers may vary by plan and facility. Repeat 10 times. HighlyEffective Physical TherapyExercises to ImproveBreathing, Bite, and Orofacial Posture. sharing sensitive information, make sure youre on a federal Activities and Societies:- Harvard Scholarly Concentration in a Special Field: Brain Stimulation. Careers. on personal development and team leadership training. Help is available in your language. The https:// ensures that you are connecting to the In all, 348 surveys (83% response rate) were completed showing 91% satisfaction rate and 87% rate of improvement in quality of life through amelioration of mouth breathing (78.4%), snoring (72.9%), clenching (91.0%), and/or myofascial tension (77.5%). Further studies with objective measures are merited. . Outcomes of tongue-tie release by means of tongue and frenulum assessment tools: a scoping review on non-infants. It focuses on only releasing the appropriate amount of tissue in order to maximize the tongue's mobility. 93010, 5601 Desoto Ave Myofunctional therapy may benefit those who suffer from a variety of ailments, including: A low tongue rest position (or posture) is either a necessity or a habit. related to the airway, sleep, breathing, health, growth & development. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Rueda JR, Mugueta-Aguinaga I, Vilar J, Rueda-Etxebarria M. Cochrane Database Syst Rev. We do myo. Request for confidential communications forms, Learn more about link terms and conditions, 711 (TTY for the hearing/speech impaired). a complete and effective release of tethered oral tissues by incorporating a multidisciplinary protocol that integrates myofunctional therapy (and sometimes physical therapy) both before, during, and after surgery. Myofunctional therapy is an effective adjunct to sleep apnea surgery that has been shown to further reduce the AHI by approximately 50% in adults and 62% in children. Navigation Menu - Opens a Simulated Dialog, Camarillo 2620 Las Posas Road Medical Offices, Pain Management Consult your own physician for evaluation and treatment of your specific condition. Tonguetie. Lingual frenuloplasty with myofunctional therapy for the treatment of mouth breathing, snoring, clenching, and myofascial tension in appropriately selected patient candidates. CI, confidence interval; MT, myofunctional therapy; SD, standard deviation; Tx, treatment. Contact your plan administrator for details. Lip strain with flattening or wrinkling of chin when lips are closed, Accentuated cupids bow appearance of upper lip, One or both jaws recessed from ideal position. Correa EJ, O'Connor-Reina C, Rodrguez-Alcal L, Benjumea F, Casado-Morente JC, Baptista PM, Casale M, Moffa A, Plaza G. J Clin Med. Adult premyofunctional and postmyofunctional therapy outcomes for Epworth Sleepiness Scale. Current literature demonstrates that myofunctional therapy decreases apnea-hypopnea index by approximately 50% in adults and 62% in children. We are honored to be considered emerging leaders in airway and breathing health, we have an extraordinary responsibility to give our all during tremendous uncertainty. Myofunctional therapy may benefit those who suffer from a variety of ailments, including: Mouth breathing can completely alter how your child looks which is the skeletal development of a child, and completely disrupts airway development which affects the amount of oxygen the body requires for proper function. Before Research interests include: Study design, literature review, and statistical analysis. Realize that your attitude determines your altitude, and that you can do anything you. Kaiser Permanente may ask whether your request for a hard copy is a one-time request or if you are requesting to receive the provider directory in hard copy permanently. Submit below for more information as soon as registration becomes available. Lowest oxygen saturations, snoring, and sleepiness outcomes improve in adults. J Clin Med. Repeat 10 times. Events This information is not available at this time. Dr. Garofoli, Heffernan & Bruneau- Dental Practice in Lancaster, MA 131 Main St, Lancaster . Baseline images obtained after preparation with preoperative myofunctional therapy, immediately prior to surgical release. '90s vibes only. Kaiser Permanente enrollees have full and equal access to covered services, including enrollees with disabilities as required under the Federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Exercise 10:Hold a Button -For children and adults who are not at risk of swallowing a button, tie one to a piece of string at least 10 cm in length. . Lowest oxygen saturations, snoring, and sleepiness outcomes improve in adults. TMD/Head & Facial Pain Conclusion: Therapeutic exercises will help the strength and range of motion for your jaw, cheeks, lip and tongue. Angle Orthod 1990;60:247253. National Library of Medicine Repeat 10 times. Assessment of posterior tongue mobility using lingual-palatal suction: Progress towards a functional definition of ankyloglossia. To always think positive, live life to its fullest, and to look for the best in everyone and everything. Personal Interests: Salsa and ballroom dance; yoga/pilates; skiing;teaching, mentoring, research. Purse your lips tightly and pull out on the string, not letting it to slip out. The second study evaluated children who were cured of OSA after adenotonsillectomy and palatal expansion, and found that 11 patients who continued MT remained cured (AHI 0.5 0.4/h), whereas 13 controls had recurrent OSA (AHI 5.3 1.5/h) after 4 y. The site is secure. Dr. Zaghi and our team at The Breathe Institute are proud to be continuing to provide online consultations for those suffering from airway issues, nasal obstruction, snoring, sleep apnea, tongue-tie and anyone seeking a healthier roadmap to better breathing and overall wellness. Providing in-depth guidance on instrument placement and handling, technique, communication and situational awareness for the critical professionals assisting during surgical procedures. Lowest oxygen saturations improved from 83.9 6.0% to 86.6 7.3%, MD 4.19 (95% CI 1.85, 6.54), P = 0.0005. Bookshelf I was born in Shiraz, Iran and immigrated with my family to the United States when I was three years old. | Facility details. -. 8600 Rockville Pike a provider's office hours, search ourfacility directory, providers in yourplan or accepting new patients, call 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired). Disclaimer. Dr. Zaghi also offers updates to a functional classification for ankyloglossia, including assessment of posterior tongue-mobility and compensation patterns. To wake up every day grateful for the air I breathe, for the life that has been given to me, for the challenges that make me stronger, and for the people that enrich my life and give it meaning. Case example: 19yearold man presenting, Case example: 19yearold man presenting with mumbling, drooling, unrefreshing sleep, fragmented sleep, and, Case example: 6yearold girl with restless sleep, nail biting, dental grinding, and open, Case example: 16yearold boy with grade 4 functional ankyloglossia (80% TRMR) with25%>, Use of computed tomography imaging to assess for tongue space in the assessment, MeSH Life (Basel). ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. N, number of articles. 2022 Sep 28;19(19):12347. doi: 10.3390/ijerph191912347. The Assessments are done in person and look at breathing function, tongue mobility, TMJ function, swallowing patterns, posture, and movement. Myofunctional therapy is aprogram used to correct the improper function of the tongue and facial muscles. This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between GLOH Education and <> GLOH Education designates this activity for XX credit hour/s of continuing education credit.". Exercise 1:Push Up the Tongue - Place the tip of the tongue against the hard palate on the roof of the mouth, just behind the top teeth, and push upwards and hold for 5 seconds. Want to review your past clinical history? Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2016 Jun 15. Dr. Soroush Zaghi, MD, is a Plastic Surgery specialist practicing in Los Angeles, CA with 13 years of experience. Click the tongue for 15 seconds and then repeat 10 times. (Summer clinical research introduction to unique strategies,specialized methods,and remarkable opportunities of patient-oriented research). 5601 De Soto Ave, Woodland Hills, CA 91367. (2) Review results from Dr. Zaghi published and un-published data collection for frenectomy in the treatment of sleep and breathing issues. Exercise 9: Hold a Spoon -Place the handle of a metal spoon between your lips and hold it in place with only your lips for 10 seconds. Epub 2022 May 16. Any time the nasal breathing is impaired, temporarily or chronically, the jaw drops and the tongue positions itself low and forward to open up the upper airways. , Camarillo Potential implications of restricted tongue mobility (such as mouth breathing, snoring, dental clenching, and myofascial tension) remain underappreciated due to limited peer-reviewed evidence. Pediatrics

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