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https://www.readbyqxmd.com/read/28264544/efficacy-of-bont-a-and-swallowing-treatment-for-oropharyngeal-dysphagia-recovery-in-a-patient-with-lateral-medullary-syndrome-a-case-study
#1
Irene Battel, Isabella Koch, Federica Biddau, Carla Carollo, Francesco Piccione, Francesca Meneghello, Merico Antonio, Katie Palmer, Rosario Marchese Ragona
BACKGROUND: Wallenberg's syndrome (WS) is known as posterior inferior cerebellar artery syndrome. Dysphagia has been reported from 51% to 94% of the patients, ranging from mild to severe. CASE PRESENTATION: We reported a case of a patient (Male; 52yrs) with WS. MRI showed an intense hypodense area in the dorsolateral part of the ponto-medullary junction. The clinical signs were severe dysphagia, fed by PEG (FOIS 1; PAS 7), sialorrhea, trismus and ataxia. CLINICAL REHABILITATION IMPACT: Dysphagia was treated by botulinum toxin tipe A (BoNT-A), which was injected into the parotid and submandibular salivary glands, temporalis and masseter muscles, cricopharyngeal muscle associated with specific swallowing exercise and food trails...
March 6, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28204979/one-year-swallowing-outcomes-in-patients-treated-with-prophylactic-gabapentin-during-radiation-based-treatment-for-oropharyngeal-cancer
#2
Heather M Starmer, WuYang Yang, Christine G Gourin, Rachit Kumar, Bronwyn Jones, Todd McNutt, Sierra Cheng, Harry Quon
Recent investigations by our study team have demonstrated patients using gabapentin for pain management during chemoradiotherapy (CRT) do well maintaining swallowing during treatment with less need for narcotic pain medication, PEG dependence, weight loss, and short-term swallowing morbidity. The purpose of this investigation was to characterize the long-term swallowing function of these patients 1-year following treatment. Sequential patients receiving CRT for oropharyngeal cancer and concurrent gabapentin were evaluated 1-year following treatment for swallowing outcomes...
February 15, 2017: Dysphagia
https://www.readbyqxmd.com/read/28203475/benefit-from-the-chin-down-maneuver-in-the-swallowing-performance-and-self-perception-of-parkinson-s-disease-patients
#3
Annelise Ayres, Geraldo Pereira Jotz, Carlos R M Rieder, Maira Rozenfeld Olchik
Aims. To verify the effectiveness of the maneuver application in swallowing therapy with PD. Materials and Method. We performed an open-label trial, with three groups compounds by PD individuals: the experimental group, control group, and orientation group. The study included PD patients with dysphagia. A cognitive screening, through a questionnaire about depression and quality of life, was conducted. Swallowing assessment was performed through (1) fiberoptic endoscopic evaluation of swallowing (FEES); (2) clinical evaluation and Functional Oral Intake Scale (FOIS); and (3) assessment of the quality life related to swallowing (SWALQOL)...
2017: Parkinson's Disease
https://www.readbyqxmd.com/read/28178125/comprehensive-swallowing-exercises-to-treat-complicated-dysphagia-caused-by-esophageal-replacement-with-colon-a-case-report
#4
Li Jiang, Yujue Wang, Na Li, Weihong Qiu, Huixiang Wu, Jianshan Huo, Meng Dai, Yong Yu, Guifang Wan, Zulin Dou, Weiping Guo
INTRODUCTION: Surgical procedures for colonic replacement of the esophagus are most commonly associated with anastomotic stricture which cause dysphagia. In this report, we describe a rare case of a patient who demonstrated dysphagia resulting from an anastomotic stricture following esophageal replacement with the colon. All the treatments to dilate the anastomotic stricture were ineffective. To investigate the new treatment strategy for a case with complicated dysphagia, clinical dysphagia evaluations, functional oral intake scale (FOIS), videofluoroscopic swallowing study as well as high-resolution manometry were used to evaluate the swallowing function of the patient before and after treatments...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28117472/association-between-severe-asthma-and-changes-in-the-stomatognathic-system
#5
Mayra Carvalho-Oliveira, Cristina Salles, Regina Terse, Argemiro D'Oliveira
Objective: To describe orofacial muscle function in patients with severe asthma. Methods: This was a descriptive study comparing patients with severe controlled asthma (SCA) and severe uncontrolled asthma (SUA). We selected 160 patients, who completed a sociodemographic questionnaire and the 6-item Asthma Control Questionnaire (ACQ-6), as well as undergoing evaluation of orofacial muscle function. Results: Of the 160 patients evaluated, 126 (78...
November 2016: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/28013388/swallowing-function-and-kinematics-in-stroke-patients-with-tracheostomies
#6
Han Gil Seo, Jeong-Gil Kim, Hyung Seok Nam, Woo Hyung Lee, Tai Ryoon Han, Byung-Mo Oh
The purpose of this study was to compare the swallowing function and kinematics in stroke patients with and without tracheostomies. In this retrospective matched case-control study, we compared stroke patients with (TRACH group, n = 24) and without (NO-TRACH group, n = 24) tracheostomies. Patients were matched for age, sex, and stroke-type. Swallowing function was evaluated using the videofluoroscopic dysphagia scale (VDS) and functional oral intake scale (FOIS) obtained from videofluoroscopic swallow study (VFSS) images...
December 24, 2016: Dysphagia
https://www.readbyqxmd.com/read/27925016/association-between-neurological-injury-and-the-severity-of-oropharyngeal-dysphagia-after-stroke
#7
Danielle Martins Otto, Marlise de Castro Ribeiro, Liselotte Menke Barea, Renata Mancopes, Sheila Tamanini de Almeida
Purpose: To associate the degree of biomechanical impairment in the swallowing process with the severity (National Institute of Health Stroke Scale - NIHSS) and type of neurological injury in patients post stroke. Methods: A cross-sectional, descriptive study conducted with 42 patients (22 females), aged 65.7 years on average diagnosed with stroke. All patients underwent clinical neurological evaluation and application of the NIHSS in the first 48 hours after stroke...
November 2016: CoDAS
https://www.readbyqxmd.com/read/27899468/favorable-swallowing-outcomes-following-vagus-nerve-sacrifice-for-vagal-schwannoma-resection
#8
Mira A Patel, Danielle F Eytan, Justin Bishop, Joseph A Califano
Objective To determine the impact of unilateral vagal sacrifice for vagal schwannoma on postoperative swallowing function. Study Design Case series, chart review. Setting Academic medical institution. Subjects and Methods Ten patients underwent vagus nerve sacrifice for vagal schwannoma resection. Archived pathology records dating from 1985 through 2012 at our institution were retrospectively queried for cases of vagal schwannoma with vagus nerve sacrifice. Medical records were abstracted for demographic and disease information as well as cranial nerve and swallowing function...
February 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27759771/late-evaluation-of-patients-operated-for-gastroesophageal-reflux-disease-by-nissen-fundoplication
#9
Maxwel Capsy Boga Ribeiro, Amanda Bueno de Araújo, Juverson Alves Terra-Júnior, Eduardo Crema, Nelson Adami Andreollo
Background: Surgical treatment of GERD by Nissen fundoplication is effective and safe, providing good results in the control of the disease. However, some authors have questioned the efficacy of this procedure and few studies on the long-term outcomes are available in the literature, especially in Brazil. Aim: To evaluate patients operated for gastro-esophageal reflux disease, for at least 10 years, by Nissen fundoplication. Methods: Thirty-two patients were interviewed and underwent upper digestive endoscopy, esophageal manometry, 24 h pH monitoring and barium esophagogram, before and after Nissen fundoplication...
July 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27689523/thoracoscopic-treatment-of-a-broncho-esophageal-fistula-a-case-report
#10
Giorgio C Ginesu, Claudio F Feo, Maria L Cossu, Francesca Ruiu, Francesca Addis, Alessandro Fancellu, Alessandro G Fois, Panagiotis Paliogiannis, Alberto Porcu
INTRODUCTION: Broncho-esophageal fistula is a rare clinical condition which can be manifested with non-specific signs and symptoms. PRESENTATION OF A CASE: Here, we report an adult case of a broncho-esophageal fistula in a 43-year-old man referred for chronic cough after fluid food intake and weight loss. Barium swallow, esophagogastroduodenoscopy, bronchoscopy and Computed Tomography of the chest demonstrated a broncho-esophageal fistula between the apical segmental bronchus of the lower right lobe and the middle section of the esophagus...
September 21, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27544282/dysphagia-in-children-with-repaired-oesophageal-atresia
#11
Catelijne H Coppens, Lenie van den Engel-Hoek, Horst Scharbatke, Sandra A F de Groot, Jos M T Draaisma
UNLABELLED: Dysphagia is a common problem in children with repaired oesophageal atresia (OA). Abnormalities in the oropharyngeal and oesophageal phase have hardly been studied. The aims of this study were to assess the prevalence of dysphagia in children with repaired OA and to identify and differentiate oral and pharyngeal dysphagia based on videofluoroscopic swallow study (VFSS) findings in a limited number of children in this cohort. Medical records of 111 patients, born between January 1996 and July 2013 and treated at the Radboudumc Amalia Children's Hospital, were retrospectively reviewed...
September 2016: European Journal of Pediatrics
https://www.readbyqxmd.com/read/27405421/reliability-and-validity-of-the-turkish-eating-assessment-tool-t-eat-10
#12
Numan Demir, Selen Serel Arslan, Özgü İnal, A Ayşe Karaduman
The purpose of this study was to test the reliability and validity of the Turkish Eating Assessment Tool (T-EAT-10) among patients with swallowing disorders. One hundred and five patients completed the T-EAT-10 and Functional Oral Intake Scale (FOIS). The internal consistency, test-retest reliability, and criterion validity of T-EAT-10 were investigated. The internal consistency was assessed using Cronbach's alpha. Intraclass correlation coefficient (ICC) value with 95 % confidence intervals was calculated for test-retest reliability...
October 2016: Dysphagia
https://www.readbyqxmd.com/read/27344650/swallow-prognosis-and-follow-up-protocol-in-infantile-onset-pompe-disease
#13
Gyani Swift, Maureen Cleary, Stephanie Grunewald, Sonia Lozano, Martina Ryan, James Davison
Oro-pharyngeal dysphagia commonly occurs in patients with infantile onset Pompe disease (IOPD), which is a rare recessive neuromuscular disorder caused by deficiency of the lysosomal enzyme acid alpha-glucosidase. Without treatment, death occurs by 1 year of age from cardiorespiratory failure. Enzyme replacement therapy (ERT) has been used to increase life expectancy, however emerging developmental and medical morbidities have become apparent. A case file review of the feeding outcomes of 12 patients with IOPD, managed at a single tertiary centre, was undertaken...
June 26, 2016: JIMD Reports
https://www.readbyqxmd.com/read/27074193/oropharyngeal-swallowing-in-chronic-renal-failure
#14
Aline Rodrigues Pinto, Roberta Gonçalves da Silva, Luciana Pinato
OBJECTIVE: To characterize the oropharyngeal swallowing profile of patients with chronic renal failure. METHODS: A cross-sectional clinical study involving 20 adults diagnosed with chronic renal failure in hospital stay was conducted. The evaluation of swallowing was performed by videofluoroscopy, and characterization of findings was based on effectiveness and safety parameters. Functional Oral Intake Scale (FOIS) was also applied. RESULTS: On videofluoroscopy, 16 patients presented changes in oral and pharyngeal patterns, three individuals presented impairment at the pharyngeal phase, and only one individual presented changes only at the oral phase of swallowing...
January 2016: CoDAS
https://www.readbyqxmd.com/read/26900299/endoscopic-dilation-of-complete-oesophageal-obstructions-with-a-combined-antegrade-retrograde-rendezvous-technique
#15
Reto Bertolini, Christa Meyenberger, Paul Martin Putora, Franziska Albrecht, Martina Anja Broglie, Sandro J Stoeckli, Michael Christian Sulz
AIM: To investigate the combined antegrade-retrograde endoscopic rendezvous technique for complete oesophageal obstruction and the swallowing outcome. METHODS: This single-centre case series includes consecutive patients who were unable to swallow due to complete oesophageal obstruction and underwent combined antegrade-retrograde endoscopic dilation (CARD) within the last 10 years. The patients' demographic characteristics, clinical parameters, endoscopic therapy, adverse events, and outcomes were obtained retrospectively...
February 21, 2016: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/26857313/swallowing-dysfunction-among-patients-with-laryngeal-cleft-more-than-just-aspiration
#16
Julie E Strychowsky, Pamela Dodrill, Ethan Moritz, Jennifer Perez, Reza Rahbar
BACKGROUND: The Modified Barium Swallow (MBS) is the most widely utilized instrumental assessment of swallowing disorders in children; however, the exact role in the evaluation of laryngeal clefts remains controversial. METHODS: This study was an IRB-approved retrospective review on patients diagnosed with laryngeal cleft from 2002 to 2014. The objective was to describe the range of swallowing dysfunction that may be present in patients with laryngeal clefts both pre- and post-intervention (conservative management versus surgery)...
March 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/26803525/effects-of-expiratory-muscle-strength-training-on-oropharyngeal-dysphagia-in-subacute-stroke-patients-a-randomised-controlled-trial
#17
J S Park, D H Oh, M Y Chang, K M Kim
Expiratory muscle strength training (EMST) involves forcible blowing as a means of generating high expiratory pressure, against adjustable resistance. EMST has recently been introduced as a potential treatment for dysphagia. This study was performed to investigate the effects of EMST on the activity of suprahyoid muscles, aspiration and dietary stages in stroke patients with dysphagia. Twenty-seven stroke patients with dysphagia were randomly divided into two groups. The experimental group performed EMST with a 70% threshold value of maximal expiratory pressure, using an EMST device, 5 days a week for 4 weeks...
May 2016: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/26791426/swallowing-training-combined-with-game-based-biofeedback-in%C3%A2-poststroke-dysphagia
#18
Chih-Ming Li, Tyng-Guey Wang, Hsiao-Yu Lee, Hsueh-Pei Wang, Shang-Heng Hsieh, Michelle Chou, Jia-Jin Jason Chen
BACKGROUND: For patients with dysphagia due to stroke, in addition to compensatory strategies, exercises are used to help improve motor function. Biofeedback is used in neuromuscular training and is promising for swallowing training. OBJECTIVE: To evaluate the functional value of game-based biofeedback in swallowing therapy for patients with poststroke dysphagia. DESIGN: A case-control study. SETTING: Academic tertiary hospital...
August 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/26142025/development-of-a-new-scale-for-dysphagia-in-patients-with-progressive-neuromuscular-diseases-the-neuromuscular-disease-swallowing-status-scale-ndsss
#19
Ayako Wada, Michiyuki Kawakami, Meigen Liu, Eri Otaka, Atsuko Nishimura, Fumio Liu, Tomoyoshi Otsuka
Dysphagia is one of the most critical problems in patients with progressive neuromuscular diseases. However, clinically useful and practical scales to evaluate dysphagia are limited. Therefore, the aim of this study was to develop such a scale. An 8-stage Neuromuscular Disease Swallowing Status Scale (NdSSS) was developed and tested for its inter- and intrarater reliabilities, concurrent validity, and responsiveness. The NdSSS was used to evaluate 134 patients with Duchenne muscular dystrophy (DMD) and 84 patients with amyotrophic lateral sclerosis (ALS)...
October 2015: Journal of Neurology
https://www.readbyqxmd.com/read/26027851/evaluation-of-long-term-10-years-dysphagia-and-trismus-in-patients-treated-with-concurrent-chemo-radiotherapy-for-advanced-head-and-neck-cancer
#20
S A C Kraaijenga, I M Oskam, L van der Molen, O Hamming-Vrieze, F J M Hilgers, M W M van den Brekel
OBJECTIVES: Assessment of long term (10-years+) swallowing function, mouth opening, and quality of life (QoL) in head and neck cancer (HNC) patients treated with chemo-radiotherapy (CRT) for advanced stage IV disease. MATERIALS AND METHODS: Twenty-two disease-free survivors, participating in a multicenter randomized clinical trial for inoperable HNC (1999-2004), were evaluated to assess long-term morbidity. The prospective assessment protocol consisted of videofluoroscopy (VFS) for obtaining Penetration Aspiration Scale (PAS) and presence of residue scores, Functional Oral Intake Scale (FOIS) scores, maximum mouth opening measurements, and (SWAL-QOL and study-specific) questionnaires...
August 2015: Oral Oncology
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