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At least 163 records · Page 9Linked to original sources
PubMed2000

[Videofluoroscopic study of deglutition in patients with multiple sclerosis].

Multiple sclerosis is a neurological disease that affects the I/II motor neurons of the CNS and its symptoms include oropharyngeal dysphagia. The onset and course of this dysphagia significantly conditions the progression of the disease. The present study evaluates the incidence on deglutition and type of alterations in a sampling of 10 multiple sclerosis patients of which 4 showed clinical signs of dysphagia. The results, obtained by combining quantitative (clinical severity) and qualitative (functional alterations) parameters showed that 9 of the 10 patients (90%) presented radiological abnormalities in the progression of the bolus. The conclusion drawn is that the high prevalence of dysphagia in multiple sclerosis, even if not always manifest clinically, justifies drawing up a standard protocol for radiological evaluation and clinical follow-up in order to screen those patients at greater risk of pulmonary complications and delay them as long as possible.

Adult↗
PubMedDate not supplied

[Evaluation of a dessert in patients with deglutition changes, one more step in advanced basic feeding].

BACKGROUND: Decrease in the capacity to deglutition solids and liquids is a problem in many people, this problem decreases quality of life. The objective of our work is to evaluate the acceptance degree of a dessert (stewed fruit) (including in the normal diet of the Hospital) in a group of patients with dysphagia. METHODS: Forty seven patients were studied in Hospital Universitario del Río Hortega (Valladolid) in July of 2000. The main pathology of these patients was; (n = 12) 25.5% acute stroke, (n = 16) 34% aerodigestive tumors (Jarynx carcinoma (n = 5), cavum carcinoma (n = 9), oesophagus carcinoma (n = 2)) and 40.4% (n = 19) chronic neurologic disease (Alzheimer, vascular dementia, and parkinson). All patients took a oral triturated diet, a dessert with apple and pear (Resource fruits Instant). All patients took a portion of the dessert and after that a acceptance questionnaire was filled. RESULTS: Global acceptance of the product was 7.25 +/- 1.5, this punctuation was higher in the tumoral group 8 +/- 1.1 points, 6.86 +/- 1.4 in patients with acute stroke and 6.7 +/- 1.5 in patients with chronic neurologic disease (p < 0.05). Different organoleptic characteristics were analyzed, mean punctuation in texture was 1.79 +/- 0.6, color 2.2 +/- 0.5, smell 2.24 +/- 0.59 and taste 1.95 +/- 0.61, in a scale of 1 (very good) until 5 (very bad), a total of 57.9% patients responded very good (1) or good (2) in texture scale, 71.1% in color scale, 60.5% in smell scale and 63.2% in taste scale. CONCLUSIONS: Acceptance of this product in patients with dysphagia has been elevated, showing useful in these patients with nutrition alterations.

Aged↗
PubMed2001

[The assessment of compensatory mechanisms improving pharyngeal phase of deglutition after partial supra-cricoid laryngectomy. Computer tomography analysis of x-ray images].

Different compensatory mechanisms after supracricoid laryngectomies of CHP and CHEP type have been observed. Wide surgical resection of anatomical structures lead to situation where laryngeal protection of lower respiratory pathway is removed. After such wide resections the lower respiratory pathway is protected against food by so called "upper closure" i.e. high placement of remaining part of the larynx and surgical movement of basis of the tongue or the tongue with epiglottis above the plane of entrance into lower respiratory pathway. Uppermost placement of the remaining laryngo-tracheal complex has been achieved by using a stabilising suture attaching trachea to sternal aponeurosis. Here, the mechanisms that protect the lower respiratory pathway and make easier pharyngeal phase of the deglutition are described.

Cricoid Cartilage↗
PubMed1992

[Recurrent syncope during deglutition. An uncommon form of sinusal dysfunction].

The authors report the case of a 69 year old man with a 16 year history of syncope occurring only while swallowing liquids. Two episodes were observed during a hospital admission to the intensive care unit for unstable angina and allowed documentation of prolonged sinus arrest (7 sec) causing syncope. In the light of this case and a review of the literature, the physiopathological role of deglutition in the genesis of cardiac conduction defects and arrhythmias is discussed and the new classification of sinus node dysfunction proposed by Bashour in 1985 is recalled.

Aged↗
PubMed1992

[Deglutition and partial supracricoid laryngectomies].

The indications of partial supracricoid laryngectomy have become more numerous since the first descriptions made by Majer, Labayle and Piquet. The study of the published functional results emphasizes that false passages during deglutition are the main postoperative problem. This technical note is aimed at drawing attention to the various points to be respected intra- and postoperatively to allow swallowing in as physiological a manner as possible.

Cricoid Cartilage↗
PubMed2003

[The effects of pharyngeal neurectomy and cricopharyngeal myotomy on postoperative deglutition in patients undergoing horizontal supraglottic laryngectomy].

OBJECTIVES: We compared the effects of pharyngeal neurectomy (PN) and cricopharyngeal myotomy (CPM) on postoperative deglutition in patients undergoing horizontal supraglottic laryngectomy (HSL). PATIENTS AND METHODS: The study included 20 male patients (mean age 53 years; range 39 to 67 years) who underwent HSL for squamous cell carcinoma of the larynx. Tumor stages were T1 in two, T2 in 16 , and T3 in two patients. None had received radiotherapy before surgery. In order to decrease cricopharyngeal muscle spasm following HSL, the patients were randomly chosen for CPM (n=11) and PN (n=9). The two groups were compared with respect to the time to postoperative oral food intake. RESULTS: No significant difference was found with respect to the time to postoperative oral feeding (mean 27 days, range 16 to 45 days in the CPM group; mean 25 days, range 16 to 36 days in the PN group; p>0.05). No significant relationship existed between primary tumor stages and the time to oral feeding (p>0.05). No complications were encountered in the two patient groups. CONCLUSION: In supraglottic partial laryngectomies, PN seems to be as effective as CPM to decrease postoperative cricopharyngeal muscle spasm, with additional advantages of ease and safety.

Adult↗
PubMedDate not supplied

[Dynamic radiologic study of deglutition in oro-pharyngeal-laryngeal neoplasms and results of their treatment].

Swallowing disorders due to oro-pharyngo-laryngeal cancer, or due to the consequences of surgical resection and radiotherapy, should be accurately evaluated to manage properly both nutritional therapy and dysphagia rehabilitation techniques. The site, size, and local spread of such tumors and, especially, the nature and extent of surgical resection and reconstruction, are important factors which are closely related to the functional disorders of deglutition. The aim of this paper is to demonstrate video-fluoroscopy capability to evaluate the incidence, type, and severity of such functional disorders. For this purpose we studied by means of dynamic radiology 23 patients with oral cancer and 33 patients with pharyngeal-laryngeal cancer, most of them after surgical and/or radiological treatment. Eighty-four per cent of the patients had swallowing disorders such as poor oral processing (25%), retention of the bolus in the pharynx (41%), penetration (41%) or aspiration (37%) of the bolus in the airway, dysmotility of upper esophageal sphincter (9%), and structural lesions (61%). The association of these functional disorders was closely related to the pathological background of each patient. In conclusion, a dynamic radiological study is recommended for both pre and postoperative evaluation of these patients, to choose the appropriate nutritional therapy and dysphagia rehabilitation technique.

Adult↗
PubMed1990

[Problems of deglutition disorders].

Disorders associated with swallowing often appear with difficulty in swallowing or with a cough when food goes down the wrong way. However, a detailed analysis of such disorders shows some distinctive characteristics based on neurological or surgical etiologies. Identification of the physiopathological mechanisms of the different types of deglutition allows for the elaboration of the appropriate rehabilitation strategies.

Cranial Nerve Diseases↗
PubMedDate not supplied

[Physiological aspects of deglutition].

Mechanisms of deglutition physiology and fundamental characteristics that allow swallowing to accomplish its absolutely necessary vital function are shortly analysed.

Deglutition↗
PubMed1986

[Operative therapy of deglutition paralysis].

Disorder of deglutition is one of the severest signs in postoperative or posttraumatic paresis of the caudal cranial nerves. The main problem in these cases is aspiration. It is a serious disorder with potentially life-threatening pulmonary sequelae. In cases with unilateral paresis of the vagus and glossopharyngeal nerve we can consider the problem of surgical rehabilitation of swallowing as to be solved very well, as described in the present paper. However, in cases with bilateral vagus paresis we are faced with many more problems especially in the high-grade aspiration syndrome. The surgical procedures are described.

Cartilage↗
PubMed1995

Deglutition disorder as a late sequel of radiotherapy for a pharyngeal tumor.

We present the case of a 62-yr-old patient who developed severe swallowing problems 5 yr after radiotherapy for a pharyngeal carcinoma. Although peripheral and cranial nerves are thought to be relatively radioresistant, cranial nerve damage can occur many years after radiotherapy. This may result in severe deglutition disorders and lead to a complete inability to eat normally. The aim is to demonstrate how these late sequelae can cause impairment of different structures involved in the swallowing process.

Carcinoma, Squamous Cell↗
PubMed1992

Aspiration pneumonia. A threat when deglutition is compromised.

Aspiration results from abnormal structure or from dysfunction during the oral, pharyngeal, or esophageal stage of deglutition. Chemically induced inflammation of the lungs and obstruction of the airways may ensue. Feeding and swallowing problems may occur at any age, but they are particularly prevalent in the elderly, and the morbidity and mortality that result from impaired oral intake are now recognized as a major geriatric problem. Aspiration pneumonitis and/or pneumonia has a high morbidity and mortality rate. Medical management is mainly aimed at supportive care with the hope of resolution over time. Complications demand aggressive measures. Prevention of aspiration is apt to be more rewarding than treatment of consequences. All predisposing factors should be carefully assessed by the physician and modified whenever possible.

Anti-Bacterial Agents↗
PubMed1994

[The measurement of EMG and deglutition pressure after glossal reconstruction]

Newly designed computer system (SAMP-EMG) was utilized,to measure the myoelectric signal in each region of the 100ms integral values and do the power spectral analysis in 10 normal people and 20 patients.At the same time,the pressure of deglutition was determined with the liquid pressure conducting electronic device.The results were :1.In normal EMG,the myoelectric power in anterior tongue is the highest,that in the margin of the tongue is the second,that in dorsum central area is the lowerest;2.There in no effective myoelectric signal detected in any kind flap;3.Normal swallowing pressure is 21.1+/-5.7kPa,the average value of FA is 10.3kPa,PM is 10.8,GC is 14.6.

Journal Article↗