Role of injection laryngoplasty in preventing post-stroke aspiration pneumonia, case series report.

Abstract:

INTRODUCTION:Injection laryngoplasty is a common procedure for patients with vocal fold dysfunction, but the literature on its benefits has been mainly focused on those related to structural lesions or laryngeal nerve involvement. Stroke patients may be at increased risk of aspiration due to insufficient vocal fold motion. However, how injection laryngoplasty can be of benefit in stroke patients has not been reported yet. PATIENT CONCERNS:Six chronic stroke patients with long-standing swallowing difficulties and who showed severe aspiration despite long-term swallowing rehabilitation. DIAGNOSIS:Laryngoscope evaluation revealed insufficient glottic closure as the cause of aspiration. INTERVENTIONS:Injection laryngoplasty was done per-orally under local anaesthesia with calcium hydroxylapatite (Radiesse Voice, 1-1.5 mL) in an office setting. Respiratory pressures and peak cough flows were assessed at baseline and at 2 weeks follow-up. OUTCOMES:At 2 weeks, the mean peak cough flow (Δ = +95.09 L/min) increased significantly after the procedure. The maximal expiratory (Δ = +18.40 cm H2O) and inspiratory (Δ = +20.20 cm H2O) pressures also improved, indicating that injection laryngoplasty was effective in augmenting respiratory and cough parameters. All cases showed improvement in the Functional Oral Intake Scale (Δ = +4). Feeding tubes were successfully removed. CONCLUSION:Injection laryngoplasty proved to be both successful and safe in improving glottic closure with immediate results in those who had failed to show a positive response after long-term swallowing rehabilitation. The positive and dramatic clinical outcomes were observed through changes in the coughing force. Our case series support the use of injection larygnoplasty as a powerful adjunctive treatment method to prevent aspiration pneumonia in post-stroke patients with vocal fold insufficiency. Pre- and post-injection peak cough flow changes may reflect improvement in glottic closure and indicate the safety of swallowing with reduced risk of aspiration.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Han YJ,Jang YJ,Park GY,Joo YH,Im S

doi

10.1097/MD.0000000000019220

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

e19220

issue

7

eissn

0025-7974

issn

1536-5964

pii

00005792-202002140-00086

journal_volume

99

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Early diagnosis and follow-up of chronic active Epstein-Barr-virus-associated cardiovascular complications with cardiovascular magnetic resonance imaging: A case report.

    abstract:INTRODUCTION:Chronic active Epstein-Barr virus (EBV) infection (CAEBV) is characterized as chronic or recurrent mononucleosis-like symptoms and elevated EBV deoxyribonucleic acid (EBV-DNA) copies. Cardiovascular complications have high morbidity and mortality. The treatment regimen for CAEBV has not been established ye...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000004384

    authors: Jiang S,Li X,Cao J,Wu D,Kong L,Lin L,Jin Z,An J,Wang Y

    更新日期:2016-08-01 00:00:00

  • Percutaneous transforaminal endoscopic decompression for the treatment of intraspinal tophaceous gout: A case report.

    abstract:RATIONALE:Intraspinal tophaceous gout is relatively rare condition presenting with major clinical manifestations, such as spinal cord or nerve roots compressions (radiculopathy). It is usually difficult to differentiate intraspinal tophaceous gout, lumbar disc herniation, stenosis of spinal canal, ossification of ligam...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020125

    authors: Chen X,Xu G,Hu Q,Zhao T,Bi Q,Huang Y,Shao H,Zhang J

    更新日期:2020-05-22 00:00:00

  • Fatal outcome of late-onset angiotensin-converting enzyme inhibitor induced angioedema: A case report.

    abstract:RATIONALE:Angiotensin-converting enzyme (ACE) inhibitors are one of the most used medication among patients with arterial hypertension. In most cases, ACE inhibitors caused side effects are mild; however, from 0.1% to 0.7% of patients can develop life threatening adverse effect, angioedema. Unlike histamine mediated, A...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011695

    authors: Jackeviciute J,Pilvinis V,Pilviniene R

    更新日期:2018-08-01 00:00:00

  • Failure of early extubation among cases of coronavirus disease-19 respiratory failure: Case report and clinical experience.

    abstract:RATIONALE:Extubation strategy for mechanically ventilated patients with Coronavirus Disease 19 is different from that for patients with other viral pneumonia. We reported 2 cases of Coronavirus Disease 19 receiving tracheal intubation twice during the hospitalization. PATIENT CONCERNS:Two elderly patients with onset o...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020843

    authors: Zhang J,He X,Hu J,Li T

    更新日期:2020-07-02 00:00:00

  • The efficacy and toxicity of paclitaxel plus S-1 compared with paclitaxel plus 5-FU for advanced gastric cancer: a PRISMA systematic review and meta-analysis of randomized controlled trials.

    abstract::The standard treatment for patients with advanced gastric cancer (AGC) is still a matter of debate. The chemotherapy regimen of paclitaxel (PTX) combined with S-1 has been used to treat AGC or metastatic gastric cancer.We conducted a meta-analysis to compare oral S-1 and infusional 5-fluorouracil (5-FU) to determine w...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000000164

    authors: Liu H,Chen X,Sun J,Gao P,Song Y,Zhang N,Lu X,Xu H,Wang Z

    更新日期:2014-11-01 00:00:00

  • Successful open reduction and internal fixation for displaced femoral fracture in a patient with osteopetrosis: Case report and lessons learned.

    abstract:RATIONALE:Osteopetrosis is a rare disease that predominantly occurs in descendants of inbreeding families. In the case of fractures happen in patients with osteopetrosis, the choice between operative or conservative treatment is still controversial. Open reduction and internal fixation (ORIF) is a conventional treatmen...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007777

    authors: Huang J,Pan J,Xu M,Xu S

    更新日期:2017-08-01 00:00:00

  • Retrospective, Demographic, and Clinical Investigation of the Causes of Postoperative Infection in Patients With Lumbar Spinal Stenosis Who Underwent Posterior Stabilization.

    abstract::Owing to the increasing population of elderly patients, a large number of patients with degenerative spondylosis are currently being surgically treated. Although basic measures for decreasing postoperative surgical infections (PSIs) are considered, it still remains among the leading causes of morbidity and mortality. ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001177

    authors: Yaldiz C,Yaldiz M,Ceylan N,Kacira OK,Ceylan D,Kacira T,Kizilcay G,Tanriverdi T

    更新日期:2015-07-01 00:00:00

  • Treatment of a patient with breast cancer and glucose 6-phosphate dehydrogenase deficiency: A case report.

    abstract:RATIONALE:Glucose 6-phosphate dehydrogenase (G6PD) deficiency is the most common enzymatic disorder of red blood cells that cause hemolytic anemia. Some anticancer drugs are reported to trigger oxidative stress; however, events of hemolysis are rarely discussed in patients with G6PD deficiency required oncologic treatm...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014987

    authors: Chung WP,Hsu YT,Chen YP,Hsu HP

    更新日期:2019-03-01 00:00:00

  • Impact of hypertonic saline on postoperative complications for patients undergoing upper gastrointestinal surgery.

    abstract::The aim of this study was to explore the impact of 3% hypertonic saline (HS) intragastric administration for patients who underwent upper gastrointestinal surgery.During the postoperative period, 3% HS has been suggested as a means to improve the intestinal edema and reduce gastrointestinal complications.The medical r...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006121

    authors: Hong S,Shang Q,Geng Q,Yang Y,Wang Y,Guo C

    更新日期:2017-03-01 00:00:00

  • Pulmonary sclerosing pneumocytoma in an 18-year-old male patient: A case report and literature review.

    abstract:RATIONALE:Pulmonary sclerosing pneumocytoma (PSP) is a rare benign tumor of the lung, mostly presented in Asian middle-aged women. Initially, it was considered as a vascular origin tumor, but then research evidence showed that it was derived from natural epithelial tissue. On imaging, this tumor may be found as a solit...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000020869

    authors: Le HY,Pham DP,Nguyen KT,Hoang VA,Trinh TS,Do Q

    更新日期:2020-06-26 00:00:00

  • Primary leiomyosarcoma of the fallopian tube: A case report and literature review.

    abstract:RATIONALE:Primary leiomyosarcoma (LMS) of the fallopian tube is extremely uncommon. To the best of our knowledge, so far only 21 cases of primary fallopian tube LMS have been reported in English-language literature. No new case has been reported in the past 7 years. PATIENT CONCERNS:A 44-year-old premenopausal patient...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000010536

    authors: You D,Wang Q,Jiang W,Lin L,Yi T,Zhao L,Li M,Wang P

    更新日期:2018-04-01 00:00:00

  • An unusual location of gouty panniculitis: A case report.

    abstract:RATIONALE:Gouty panniculitis, characterised by the deposition of monosodium urate crystals in subcutaneous tissue, is a rare clinical manifestation of gout. PATIENT CONCERNS:The case of a 67-year-old man is reported, who presented an erythematous nodule on the upper part of the right buttock suspicious for an abscess....

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006733

    authors: Martin D,Joliat GR,Fournier P,Brunel C,Demartines N,Gié O

    更新日期:2017-04-01 00:00:00

  • Successful Pregnancy Following Assisted Reproduction in Woman With Systemic Lupus Erythematosus and Hypertension: A Case Report.

    abstract::Patients with systemic lupus erythematosus have a poor prognosis of pregnancy, since it is associated with significant maternal and fetal morbidity, including spontaneous miscarriage, pre-eclampsia, intrauterine growth restriction, fetal death and pre-term delivery. We report a case with successful pregnancy in a pati...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001531

    authors: de Macedo JF,de Macedo GC,Campos LA,Baltatu OC

    更新日期:2015-09-01 00:00:00

  • The relationship between ITPA rs1127354 polymorphisms and efficacy of antiviral treatment in Northeast Chinese CHC patients.

    abstract::This prospective study investigated the relationship between 2 inosine triphosphatase (ITPA) polymorphisms (rs7270101 and rs1127354) and the efficacy of ribavirin-based antiviral therapy in hepatitis C virus (HCV)-infected Chinese patients.A total of 906 patients diagnosed with chronic hepatitis C receiving pegylated ...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MD.0000000000007554

    authors: Liu Z,Wang S,Qi W,Wang X,Sun D,Wang H,Zhang Y,Li Z,Zhu L,Zhao P,Guo H,Zhou C,Wang J

    更新日期:2017-07-01 00:00:00

  • Role of Ginkgo biloba extract as an adjunctive treatment of elderly patients with depression and on the expression of serum S100B.

    abstract:OBJECTIVE:To explore the effect of ginkgo biloba extract (EGb) as an adjunctive treatment of elderly patients with depression and the effect on the expression of serum S100B. METHODS:136 elderly patients with depression were divided into EGb +  citalopram (Cit) group and Cit group equally. Efficacy was evaluated by Ha...

    journal_title:Medicine

    pub_type: 临床试验,杂志文章

    doi:10.1097/MD.0000000000012421

    authors: Dai CX,Hu CC,Shang YS,Xie J

    更新日期:2018-09-01 00:00:00

  • The use of SAPS 3, SOFA, and Glasgow Coma Scale to predict mortality in patients with subarachnoid hemorrhage: A retrospective cohort study.

    abstract::Guidelines for patients with subarachnoid hemorrhage (SAH) management and several grading systems or prognostic indices have been used not only to improve the quality of care but to predict also the outcome of these patients. Among them, the gold standards Fisher radiological grading scale, Hunt-Hess and the World Fed...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012769

    authors: Basile-Filho A,Lago AF,Menegueti MG,Nicolini EA,Nunes RS,Lima SL,Ferreira JPU,Feres MA

    更新日期:2018-10-01 00:00:00

  • The natural history of symptomatic recurrent bacteriuria in women.

    abstract::In 23 adult women having uncomplicated recurrent urinary tract infections treated with 10 days of appropriate antibiotic for each infection, the following findings were noted. 1. The attack rate was 0.17 infections per month. 2. 94% of infections has associated symptoms. 3. 73% of symptomatic episodes had an associate...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:

    authors: Kraft JK,Stamey TA

    更新日期:1977-01-01 00:00:00

  • Recurrent meningococcal meningitis with complement 6 (C6) deficiency: A case report.

    abstract:RATIONALE:Late complement deficiency increases susceptibility to meningococcal disease and recurrent infections. In Korea, 5 case reports have described meningococcal disease with complement deficiency. However, C6 deficiency has not been described previously. PATIENT CONCERNS:A 21-year-old police trainee presented wi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020362

    authors: Bae JY,Ham A,Choi HJ,Kim CJ

    更新日期:2020-05-22 00:00:00

  • Comparative assessment of the efficacy and safety of acarbose and metformin combined with premixed insulin in patients with type 2 diabetes mellitus.

    abstract::This study, a subgroup analysis of the data from the Organization Program of DiabEtes INsulIN ManaGement study, aimed to compare the efficacy and safety profiles of acarbose and metformin used in combination with premixed insulin.This analysis included 80 and 192 patients taking only 1 oral antidiabetic drug, classifi...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000007533

    authors: Wu H,Liu J,Lou Q,Liu J,Shen L,Zhang M,Lv X,Gu M,Guo X

    更新日期:2017-09-01 00:00:00

  • Multiple Primary Malignancies in Patients With Hepatocellular Carcinoma: A Largest Series With 26-Year Follow-Up.

    abstract::Multiple primary malignancies (MPMs) are defined as 2 or more malignancies without subordinate relationship detected in different organs of an individual patient. Reports addressing MPM patients with hepatocellular carcinoma (HCC) are rare. We perform a 26-year follow-up study to investigate characteristics and progno...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003491

    authors: Xu W,Liao W,Ge P,Ren J,Xu H,Yang H,Sang X,Lu X,Mao Y

    更新日期:2016-04-01 00:00:00

  • Cytokines concentrations in aqueous humor of eyes with uveal melanoma.

    abstract::Uveal melanoma (UM) is the major intraocular malignancy in adults, of which the molecular biology is still unknown. Therefore, this study was designed to determine the aqueous concentrations of angiogenic, inflammatory, and chemotactic cytokines in eyes with UM.Aqueous humor samples were collected from 38 patients wit...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014030

    authors: Cheng Y,Feng J,Zhu X,Liang J

    更新日期:2019-02-01 00:00:00

  • Change in lipoprotein-associated phospholipase A2 and its association with cardiovascular outcomes in patients with acute coronary syndrome.

    abstract::Lipoprotein-associated phospholipase A2 (Lp-PLA2) probably plays an important role in the development of acute coronary syndrome (ACS). However, alterations of Lp-PLA2 levels during ACS and its association with cardiovascular outcome are unclear. Our aim was to investigate the change in Lp-PLA2 and its association wit...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011517

    authors: Li J,Wang H,Tian J,Chen B,Du F

    更新日期:2018-07-01 00:00:00

  • CT-Guided Percutaneous Radiofrequency Thermocoagulation for Recurrent Trigeminal Neuralgia After Microvascular Decompression: A Cohort Study.

    abstract::This article evaluates the long-term outcomes of computed tomography (CT)-guided percutaneous radiofrequency thermocoagulation (PRT) for patients with recurrent trigeminal neuralgia (TN) after microvascular decompression (MVD).This is a retrospective study of 41 patients with intractable TN who after MVD underwent CT-...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001176

    authors: Lai GH,Tang YZ,Wang XP,Qin HJ,Ni JX

    更新日期:2015-08-01 00:00:00

  • Retrospective observational study comparing the international hip dysplasia institute classification with the Tonnis classification of developmental dysplasia of the hip.

    abstract::The Tonnis radiographic classification of developmental dysplasia of the hip (DDH) has been widely used. The International Hip Dysplasia Institute (IHDI) classification, a new classification system recently developed by the IHDI, is beginning to be applied to evaluate DDH with the absence of an ossification center. Th...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005902

    authors: Miao M,Cai H,Hu L,Wang Z

    更新日期:2017-01-01 00:00:00

  • Over expression of CDK4 and MDM2 in a patient with recurrent ALK-negative mediastinal inflammatory myofibroblastic tumor: A case report.

    abstract:RATIONALE:The diagnosis of anaplastic lymphoma kinase (ALK)-negative inflammatory myofibroblastic tumors (IMT) remains challenging because of their morphological resemblance with spindle cell sarcoma with myofibroblastic characteristics. PATIENT CONCERNS:A 69-year-old female patient presented with loco-regional recurr...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019577

    authors: Hou TC,Wu PS,Huang WY,Yang YT,Tan KT,Liu SH,Chen YJ,Chen SJ,Su YW

    更新日期:2020-03-01 00:00:00

  • Neutrophil to lymphocyte ratio predicts island sign in patients with intracranial hemorrhage.

    abstract::Our previously studies indicated that inflammatory responses are involved in the hematoma expansion (HE) after intracranial hemorrhage (ICH) ictus. Here, we aim to evaluate the correlations among the ratio of neutrophil to lymphocyte ratio (NLR), HE, and island sign in patients with ICH.Patients with spontaneous ICH w...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013057

    authors: Zhang F,Qian J,Tao C,Wang Y,Lin S,You C,Yang M

    更新日期:2018-11-01 00:00:00

  • Successful Treatment of Scrub Typhus-Associated Hemophagocytic Lymphohistiocytosis With Chloramphenicol: Report of 3 Pediatric Cases and Literature Review.

    abstract::Scrub typhus is caused by Orientia tsutsugamushi. Any delay in diagnosis can result in delayed treatment and severe complications, including secondary hemophagocytic lymphohistiocytosis, which is rare but potentially fatal.In this paper, the authors present 3 cases of secondary hemophagocytic lymphohistiocytosis assoc...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000002928

    authors: Zhou YH,Xia FQ,Van Poucke S,Zheng MH

    更新日期:2016-02-01 00:00:00

  • Paraproteinemic keratopathy in monoclonal gammopathy of undetermined significance treated with primary keratoprosthesis: Case report, histopathologic findings, and world literature review.

    abstract:RATIONALE:We report a case of paraproteinemic keratopathy associated with monoclonal gammopathy of undetermined significance, treated with keratoprosthesis as a primary penetrating procedure. Histopathological findings and a world literature review are presented. PATIENT CONCERNS:A 74 year old female recently diagnose...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000008649

    authors: Chiang HH,Wieland RS,Rogers TS,Gibson PC,Atweh G,McCormick G

    更新日期:2017-12-01 00:00:00

  • Pseudallescheria boydii (Anamorph Scedosporium apiospermum). Infection in solid organ transplant recipients in a tertiary medical center and review of the literature.

    abstract::(Sca) is a ubiquitous filamentous fungus capable of causing invasive disease. We reviewed our electronic microbiology records and the English-language literature. Between 1976 and December 1999 we identified 23 solid organ transplant recipients with Sca infection, 7 of which occurred between December 1987 and December...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/00005792-200209000-00001

    authors: Castiglioni B,Sutton DA,Rinaldi MG,Fung J,Kusne S

    更新日期:2002-09-01 00:00:00

  • Case report: Takayasu arteritis in a 3-month-old Chinese girl.

    abstract:RATIONALE:Takayasu arteritis is a rare large vessel systemic vasculitis that predominantly affects the aorta and its main branches in women of childbearing age. Due to nonspecific symptoms during the acute phase of disease, early diagnosis is still a challenge for pediatricians. PATIENT CONCERNS:We reported a 3-month-...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012637

    authors: Liu H,Sun L,Upadhyaya RS,Chen Y,Ajoje OO

    更新日期:2018-10-01 00:00:00