Abstract:
:Tracheostomy tubes are thought to increase the incidence of aspiration and several mechanisms that might cause this have been suggested. Some studies reported alterations in laryngeal elevation during swallowing, which they attributed to an anchoring effect of the tracheostomy tube resulting in dysphagia. The purpose of the present study was to kinematically investigate the effect of tracheostomy on the swallowing process in dysphagic patients. Thirteen patients (7 males, 6 females; mean age = 61.4 years) were prospectively enrolled between August 2008 and December 2009. The inclusion criteria for a patient who had undergone tracheostomy were an ability to tolerate tube plugging for 48 h and the capacity to expectorate without assistance. All patients underwent two videofluoroscopic swallow studies (VFSS), before and after decannulation. We measured 21 time interval variables during swallowing in the pharyngeal phase and the extent of laryngeal elevation. No patient exhibited any change in swallowing function status [Penetration - Aspiration Scale (PAS) (median value = 1)] in the interval between the two VFSS tests. Upon kinematic analysis, no significant difference in any variable pertaining to laryngeal elevation or pharyngeal constriction was found when pre- and post-decannulation VFSS test data were compared (p > 0.05). The present study thus showed that removal of a tracheostomy tube does not affect the kinematics of swallowing. Our results support previous findings that indicated no relationship between tracheostomy tube placement and dysphagia.
journal_name
Dysphagiajournal_title
Dysphagiaauthors
Kang JY,Choi KH,Yun GJ,Kim MY,Ryu JSdoi
10.1007/s00455-012-9396-ysubject
Has Abstractpub_date
2012-12-01 00:00:00pages
498-503issue
4eissn
0179-051Xissn
1432-0460journal_volume
27pub_type
杂志文章相关文献
DYSPHAGIA文献大全abstract::We tested two hypotheses using surface electrical stimulation in chronic pharyngeal dysphagia: that stimulation (1) lowered the hyoid bone and/or larynx when applied at rest, and (2) increased aspiration, penetration, or pharyngeal pooling during swallowing. Bipolar surface electrodes were placed on the skin overlying...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-006-9029-4
更新日期:2007-01-01 00:00:00
abstract::This study compared self-reported incidence and prevalence of dysphagia in inflammatory myopathy diseases with instrumental data from videofluoroscopy in a cohort of 18 patients with inflammatory myopathies (inclusion body myositis, polymyositis, and dermatomyositis). We found a high self-report of incidence of dyspha...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-011-9338-0
更新日期:2012-03-01 00:00:00
abstract::Barium may affect the perception of taste intensity and palatability. Such differences are important considerations in the selection of dysphagia assessment strategies and interpretation of results. Eighty healthy women grouped by age (younger, older) and genetic taste status (supertaster, nontaster) rated intensity a...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-013-9487-4
更新日期:2014-02-01 00:00:00
abstract::The 12-month clinical outcomes of nursing home patients who underwent videofluoroscopic swallowing evaluation was determined. A retrospective review of 40 patients in a teaching nursing home who had videofluoroscopic swallowing studies from 1987 through 1989 was performed. Clinical outcomes measured included feeding t...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF00341256
更新日期:1994-07-01 00:00:00
abstract::The myoarchitecture of the tongue is believed to consist of a complex network of interwoven fibers, which function together to produce a near limitless array of functional deformations. These deformations contribute mechanically to speech production and to oral cavity food handling during swallowing. We have previousl...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-003-0505-9
更新日期:2005-01-01 00:00:00
abstract::Fifty-one patients with systemic sclerosis (scleroderma) underwent videofluoroscopy during barium swallow to evaluate the incidence of oropharyngeal deglutition abnormalities and to correlate the radiologic patterns of esophageal motility abnormalities with patients' clinical features. Thirteen patients (26%) showed s...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF02493531
更新日期:1991-01-01 00:00:00
abstract::Research advocates for the use of intensive, prophylactic swallowing therapy to help reduce the severity of dysphagia in patients receiving (chemo)radiotherapy ([C]RT) for head/neck cancer (HNC). Unfortunately, the intensity of this therapy, coupled with growing patient numbers and limited clinical resources, provides...
journal_title:Dysphagia
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00455-018-9960-1
更新日期:2019-10-01 00:00:00
abstract::The findings on 13 patients with bulimia nervosa referred for evaluation of salivary glands and swallowing patterns are presented. Each patient completed a medical, oral, and social history questionnaire. A complete oral examination supported by appropriate dental radiographs and photographs was conducted. Unstimulate...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF02407154
更新日期:1989-01-01 00:00:00
abstract::The adverse consequences of aspiration in regard to patient health and quality of life are well documented. It is generally accepted that the probability of aspiration is increased in patients with unilateral vocal fold motion impairment, however, the incidence and proposed mechanism of aspiration vary depending on th...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s004550000026
更新日期:2000-10-01 00:00:00
abstract::Bolus properties such as volume, consistency, and density have been shown to influence swallowing through the analysis of kinematics and timing in both normal and disordered swallowing. However, inherent intra- and inter-person variability of swallowing cloud interpretation of group data. Computational analysis of swa...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-019-10026-9
更新日期:2020-04-01 00:00:00
abstract::Dysphagia is common following total laryngectomy. Postlaryngectomy neopharyngeal diverticulae are known to cause postlaryngectomy dysphagia but are more frequently asymptomatic. We report a case presenting with late-onset postlaryngectomy dysphagia and a suprastomal swelling secondary to such a diverticulum. The patie...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-004-0015-4
更新日期:2004-10-01 00:00:00
abstract::Non-food gustatory stimulation has multiple potential therapeutic benefits for people with dysphagia and xerostomia. This study examined palatability and saliva flow associated with dissolvable flavored films. Taste strips with real-food flavors dissolved on the tongues of 21 persons with dysphagia and/or xerostomia a...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-018-9905-8
更新日期:2018-12-01 00:00:00
abstract::Large projecting ventral cervical osteophytes are associated with senile degenerative skeletal disease, post-traumatic osteophytogenesis, and diffuse idiopathic skeletal hyperostosis (DISH). The vast majority of patients with cervical osteophytes are asymptomatic. However, in a small subset this condition may lead to ...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-009-9264-6
更新日期:2011-03-01 00:00:00
abstract::Erratum to: Dysphagia DOI 10.1007/s00455-014-9578-x. In the original version of this article, Fig. 1 was published incorrectly. The corrected figure is given below. ...
journal_title:Dysphagia
pub_type: 已发布勘误
doi:10.1007/s00455-015-9603-8
更新日期:2015-04-01 00:00:00
abstract::The purpose of the study was to define the impact of Zenker's diverticula on voice and potential benefit from repair. Retrospective chart review of prospectively collected data from eleven patients with a Zenker's diverticulum treated surgically in a tertiary care center from November 2014 through January 2016. The vo...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-017-9813-3
更新日期:2017-10-01 00:00:00
abstract::A prefabricated oral screen has shown promising results as a muscle self-training device to improve the lip function of stroke patients affected by oropharyngeal dysphagia. However, a technique for the measurement of lip muscle force, whether in healthy individuals or in stroke patients, is lacking. The present study ...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-007-9143-y
更新日期:2008-09-01 00:00:00
abstract::Dysphagia or swallowing difficulties have been reported to be a concern in adults with multiple sclerosis (MS). This problem can result in several complications including aspiration pneumonia, reduced quality of life and an increase in mortality rate. No previous systematic reviews on treatment effects for dysphagia i...
journal_title:Dysphagia
pub_type: 杂志文章,评审
doi:10.1007/s00455-016-9738-2
更新日期:2016-10-01 00:00:00
abstract::There has been renewed interest in the use of manometry of the pharyngoesophageal segment in the investigation of pharyngeal dysphagia. Advances in technology have alleviated previous difficulties presented by factors such as the rapid response rate of the striated muscle and asymmetry of the upper esophageal sphincte...
journal_title:Dysphagia
pub_type: 杂志文章,评审
doi:10.1007/BF01354550
更新日期:1993-01-01 00:00:00
abstract::The ability to measure normality and abnormality and to accurately assess true changes in swallowing function over time, is important for the management of dysphagia. Despite this, there is a paucity of information regarding the stability and reliability of measurements tools used for dysphagia research. As both head ...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-008-9181-0
更新日期:2009-06-01 00:00:00
abstract::Recent research has suggested that the central nervous system controlling swallowing can undergo experience-dependent plasticity. Moreover, swallowing neuroplastic change may be associated with behavioural modulation. This article presents research evidence suggesting that nonbehavioural and behavioural interventions,...
journal_title:Dysphagia
pub_type: 杂志文章,评审
doi:10.1007/s00455-008-9193-9
更新日期:2009-06-01 00:00:00
abstract::Large anterior cervical osteophytes can occur in degeneration of the cervical spine or in diffuse idiopathic skeletal hyperostosis (DISH). We present the case of an 83-year-old patient with progressive dysphagia and acute dyspnea, necessitating emergency tracheotomy. Voluminous anterior cervical osteophytes extending ...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-006-9049-0
更新日期:2006-10-01 00:00:00
abstract::Amyotrophic lateral sclerosis (ALS) is the most common degenerative motor neuron disease in adults, and dysphagia is one of its most frequent and disabling symptoms. Oropharyngoesophageal scintigraphy (OPES) permits a functional and semiquantitative study of the various stages of swallowing. We studied 28 ALS patients...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-006-9052-5
更新日期:2006-10-01 00:00:00
abstract::Yawning is a stereotyped motor behavior characterized by deep inhalation and associated dilation of the respiratory tract, pronounced jaw opening, and facial grimacing. The frequency of spontaneous yawning varies over the diurnal cycle, peaking after waking and before sleep. Yawning can also be elicited by seeing or h...
journal_title:Dysphagia
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00455-014-9573-2
更新日期:2015-02-01 00:00:00
abstract::True vocal fold (TVF) dysfunction may lead to cough ineffectiveness. In individuals with motor neuron disease (MND), cough impairment in the context of dysphagia increases risk for aspiration and respiratory failure. This study characterizes differences and associations between TVF kinematics and airflow during cough ...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-014-9554-5
更新日期:2014-12-01 00:00:00
abstract::Videofluoroscopy (VFS) is considered one of the gold-standard assessments of swallowing. Whilst guidelines for the application and conduct of VFS exist, their translation into clinical practice remain challenging. To build a greater understanding on how VFS clinics operate in the UK. A web-based survey was shared with...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-020-10130-1
更新日期:2020-05-16 00:00:00
abstract::Manofluorography, that is, the concurrent use of manometry and videofluorography for the evaluation of pharyngeal dysphagia, has not been widely used clinically, partially because of various limitations of conventional manometry. Technological advancements in recent years have led to substantial improvements in manome...
journal_title:Dysphagia
pub_type: 杂志文章,评审
doi:10.1007/s00455-012-9405-1
更新日期:2012-06-01 00:00:00
abstract::Although clinically evident aspiration is common in subjects with dysphagia, a significant proportion may aspirate silently, i.e., without any outward signs of swallowing difficulty. This article reviews the literature on the prevalence, etiology, and prognostic significance of silent aspiration. An electronic databas...
journal_title:Dysphagia
pub_type: 杂志文章,评审
doi:10.1007/s00455-005-0018-9
更新日期:2005-07-01 00:00:00
abstract::The aim of this study was to test reliability, content, construct, and external validity of a new modified barium swallowing study (MBSS) tool (MBSImp) that is used to quantify swallowing impairment. Multiple regression, confirmatory factor, and correlation analyses were used to analyze 300 in- and outpatients with he...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-008-9185-9
更新日期:2008-12-01 00:00:00
abstract::This epidemiological investigation examined the prevalence, risk factors, and quality-of-life effects of swallowing disorders in Sjögren's syndrome (SS). One hundred and one individuals with primary or secondary SS (94 females, 7 males; mean age 59.4, SD = 14.1) were interviewed regarding the presence, nature, and imp...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/s00455-015-9657-7
更新日期:2016-02-01 00:00:00
abstract::Neuropharmacological in vivo and in vitro investigations are beginning to provide insight into chemical signaling processes within brainstem networks controlling the individual stages of swallowing. Different subtypes of excitatory amino acid (EAA) receptors operate at the level of solitarial interneurons programming ...
journal_title:Dysphagia
pub_type: 杂志文章
doi:10.1007/BF01321768
更新日期:1993-10-01 00:00:00