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Tytuł:
Diagnosis in Muscle Tension Dysphagia
Autorzy:
Krasnodębska, Paulina
Jarzyńska-Bućko, Agnieszka
Szkiełkowska, Agata
Miaśkiewicz, Beata
Skarżyński, Henryk
Powiązania:
https://bibliotekanauki.pl/articles/1397249.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
dysphagia
Muscle Tension Dysphagia
swallowing
Opis:
Introduction: Patient-reported outcome measures have been used within the otorhinolaryngologic disorders’ field for many years to compare patient’s perception of the severity of symptoms and the effectiveness of a therapeutic approach. Questionnaires that evaluate dysphagia are relatively complex instruments aimed mostly at patients with neurological or malignant diseases. The ICD-10 classification specifies only one broad term – dysphagia (R13). Introduction of Muscle Tension Dysphagia (MTDg) in 2016 by Kang completed the spectrum of the nomenclature. This dysphagia type is defined as a type of laryngeal muscle tension disorder manifesting primarily as swallowing difficulty with or without any accompanying organic cause, laryngeal hyperresponsiveness and/or nonspecific laryngeal inflammation. Aim: Since there were no clear diagnostic and therapeutic perspectives on the group of patients with MTDg, the aim of this work was to analyse selected diagnostic tools used for the evaluation of swallowing disorders in the context of finding the most suitable tools for patients with Muscle Tension Dysphagia. Material and method: The material of the work included 61 patients. Each patient underwent otolaryngologic, phoniatric and speech therapist’s examination, Functional Endoscopic Evaluation of Swallowing (FEES) and filled out questionnaires concerning dysphonia and dysphagia symptoms. Results: The results of the work showed that patients with MTDg were characterised by correct results of FEES examination, prolonged swallowing, features of inappropriate mucous and oropharyngeal muscle function. Conclusions: The Swallowing Disorder Scale (SDS), developed by the authors, correlated best with the cause of dysphagia. The questionnaire corresponded well with the degree of severity. In the diagnostic process of MTDg one of the key tasks is the differentiation with patients with non-normative swallowing patterns. Apart from specialistic consultations with otolaryngologist and speech therapist, while diagnosing MTDg we recommend using objective (FEES, videofluroscopy, SEMG) and subjective (SDS, DHI, EAT-10 surveys) assessment tools. In our opinion, the inclusion of questionnaires to detect reflux syndromes is also important in the causal treatment of ailments.
Źródło:
Polish Journal of Otolaryngology; 2021, 75, 1; 16-22
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The Principles of Neurological Speech Therapy in Dysphagia
Autorzy:
Kosmowska, Aneta
Sielska-Badurek, Ewelina
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1401814.pdf
Data publikacji:
2015
Wydawca:
Index Copernicus International
Tematy:
swallowing disorders
dysphagia therapy
therapeutic exercises in dysphagia
compensatory exercises in dysphagia
Opis:
The word dysphagia has its origins in the Greek language. In Greek, the prefix dys- implies difficulty, and –phagia applies to eating, swallowing. Impairment in swallowing can affect both adults and children. The therapy of this disorder is conducted by neuro speech therapists, mainly. The therapist chooses particular treatment methods for particular patients according to the causes and symptoms that are observed in the patient. Therapists can choose from two types of exercises: therapeutic and compensatory ones. The aim of therapeutic exercises is to improve the effectiveness of swallowing by modifying the mechanism of swallowing. Neuro speech therapist can teach special manoeuvres to the patient or perform the exercises that stimulate the swallowing reflex with the patient. Direct exercises comprise two categories: indirect and direct exercises. Indirect exercises are also known as the exercises that strengthen the muscles that take part in the act of swallowing. Neither food, nor drinks are used when performing this kind of exercises. Direct exercises, i.e. exercises in which food and drinks are used, affect the strength of the muscles of the oral cavity and the pharynx. The main aim of this method is to improve the act of swallowing. Compensatory exercises form the second type of exercises. They are aimed to teach the patient to compensate for the deficits that accompany dysphagia. They do not lead to a change in the act of swallowing. Neuro speech therapist gives some hints to the patients and also teaches them some special manoeuvres that utilise, i.e. a change in the position of the head while swallowing. The principle of this method is to reduce the risk of aspiration. The therapy of children with swallowing disorders is a great challenge for neuro speech therapists. The therapist trains the basic movements of the tongue and the position of the organs within the oral cavity that take part in swallowing. Afterwards, he teaches the patient how to make use of these skills while swallowing saliva, eating or drinking. The effectiveness of dysphagia therapy relies on good cooperation between the therapist and the patient, as well as the patient’s autonomy and the amount of exercise performed by the patient between therapy sessions.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2015, 4, 4; 14-20
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Screening tests for dysphagia
Autorzy:
Jamróz, Barbara
Pabian, Maria
Chmielewska, Joanna
Milewska, Magdalena
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1400474.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
dysphagia
aspiration
water swallow screening test
GUSS
V-VST
Opis:
Many patients treated at hospital have difficulty with swallowing, which poses an interdisciplinary problem. We describe basic screening tests for dysphagia, which can be carried out by physicians, speech therapists, and nurses, and show how to use these tests.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2017, 6, 4; 10-13
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Evaluation of dysphagia among patients with chronic cough
Autorzy:
Jamróz, Barbara
Pabian, Maria
Walczak, Joanna
Milewska, Magdalena
Grabczak, Elżbieta
Marta, Dąbrowska
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1399906.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
dysphagia
FEES
chronic cough
water swallowing test
aspiration
penetration
Opis:
Aim: The aim of the study was to determine the prevalence of dysphagia in patients with chronic cough. Material and methods: Thirty-four consecutive patients. All patients underwent physical examination, ENT assessment, functional phoniatric assessment at rest and speech, Water-Swallow Test (WST), and Fiberoptic Endoscopic Evaluation of Swallowing Disorders (FEES). Furthermore, Reflux Symptom Index (RSI) and Eating Assessment Tool 10 (EAT 10) questionnaires were performed. Results: Results of the RSI and EAT 10 questionnaires showed the risk of reflux and dysphagia in participating patients. WST positive results increase with water volume. Patients presented episodes of spillage, double swallows, penetration, aspiration and residue of food at the hypopharynx. Functional examination showed decrease of laryngeal elevation (33%) and hypertension of external laryngeal muscles. Conclusions: Results of the study showed prevalence of dysphagia in most patients with chronic chough. It seems that phoniatric assessment in those cases should be expanded and FEES examination should comprise an important part.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2018, 7, 2; 1-7
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Dysphagia among patients after total laryngectomy: diagnostic and therapeutic procedures
Autorzy:
Jamróz, Barbara
Chmielewska-Walczak, Joanna
Milewska, Magdalna
Powiązania:
https://bibliotekanauki.pl/articles/1399294.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
cricopharyngeal muscle
dilation
dysphagia
FEES
laryngeal cancer
myotomy
pharyngoesophageal segment
substitute speech
total laryngectomy
videofluoroscopy
Opis:
Dysphagia concerns 10–89% patients after total laryngectomy; to a greater extent it regards patients receiving complementary radiotherapy. The disease mechanism is associated with anatomical changes after surgery (typeof surgery) or complications of adjuvant therapy (xerostomia, neuropathy, swelling of tissue, etc.). The above changes lead to: decreased mobility of the lateral walls of the pharynx and tongue retraction, the occurrence of tounge pumping movements, decreased swallowing reflex, weakening of the upper esophageal sphincter opening, contraction of the cricopharyngeal muscle, tissue fibrosis, formation of pharyngeal pseudodiverticulum, etc. As a result: regurgitation of food through the nose and oral cavity, food sticking in middle and lower pharynx, prolongation of bolus transit time. Upon the formation of tracheoesophageal fistula, there may be aspiration of gastric contents. The above changes considerably reduce patients’ quality of life after surgery. The diagnostic protocol includes: medical interview (questionnaires such as EAT 10, SSQ, MDADI, DHI can be helpful), clinical swallowing assessment and instrumental examinations: primarily videofluoroscopy but also endoscopic evaluation of swallowing. Selected cases also require high frequency manometry. The treatment options include: surgical methods (e.g. balloon dilatation of the upper esophageal sphincter, cricopharyngeal myotomy, pharyngeal plexus neurectomy, removal of the pharyngeal pseudodiverticulum), pharmacological treatment or conservative methods (e.g. botulinum toxin injection of the upper esophageal sphincter, speech therapy, nutritional treatment) and supportive methods such as consultation with a psychologist, physiotherapist, clinical dietitian). The selection of a specific treatment method should be preceded by a diagnostic process in which the mechanism of functional disorders related to voice formation and swallowing will be established.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2020, 9, 4; 23-28
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Instrumental evaluation of dysphagia after oropharyngeal cancer surgery with free flap reconstruction
Autorzy:
Jamróz, Barbra
Chmielewska, Joanna
Milewska, Magdalena
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1401527.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
FEES
VFS
dysphagia
head and neck cancer
free flap reconstruction
Opis:
Introduction: Assessment of usefulness of instrumental method of evaluation of dysphagia in creating a therapeutic plan among patients after oropharyngeal cancer surgery with free flap reconstruction. Material and Method: Seven patients after oropharyngeal cancer surgery with free flap reconstruction hospitalized from January to September 2016 in the ENT Department of Warsaw Medical University were included in this study. All patients underwent few times after surgery: clinical swallowing examination, water swallowing screening test and fiberoptic endoscopic evaluation of swallowing and/or videofluoroscopy. Results: All patients were diagnosed with dysphagia and had unitentional weight loss (average 5,9% of initial weight during 3 months). In water swallowing test only three participant achieved negative score for 5 ml, and two for 10 ml, 20 ml and 90 ml of water. Fiberoptic endoscopic evaluation of swallowing was analyzed for swallowing patterns and laryngeal pathology. FEES showed following abnormalities: aspiration (saliva, liquid), penetration (puree, liquid), premature swallowing (liquid, puree) and multiswallowing (liquid, puree, solid food), retention (saliva, puree, liquid, solid food). Videofluroscopy showed on the first place problems with oral phase of swallowing: difficulty forming and propeling bolus, tongue pumping movements, oral cavity residue, premature spillage and delayed oral onset. During the pharyngeal phase we observed: residue in valleculae and piriform sinuses, reduced laryngeal elevation, penetration and aspiration, multiple swallows. Conclusion: Instrumental assessment of swallowing helps during diagnostic and therapeutic process of patients with dysphagia after oncological treatment. a.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2016, 5, 4; 22-28
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Adaptive therapy in the rehabilitation of swallowing disorders
Autorzy:
Jamróz, Barbara
Szałańska, Marta
Chmielewska, Joanna
Milewska, Magdalena
Przekop, Zuzanna
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1400470.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
dysphagia
swallowing disorders
adaptive methods
diet
IDDSI
Opis:
Dysphagia is an interdisciplinary problem. Doctors of different specialties (phoniatrician, ENT, gastrologist, neurologist), speech language therapists, physiotherapists and dieticians should be involved in the therapy of patients. The task of the first group is instrumental evaluation of swallowing, defining the safe consistency of fluids and foods, showing effective therapeutic maneuvers (restitutive and compensatory maneuvers), and finally - adapting the optimal diet to patient's eating ability (adaptive methods). The purpose of the study is to present a modification of the consistency of fluids and foods according to the recommendations of the International Dietary Standardization Initiative (IDDSI). The work shows the basic consistencies and tests that allow for them to be checked.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2017, 6, 4; 25-28
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Fiberoendoscopic Evaluation of swallowing - FEES: procesure with an assesment questionare
Autorzy:
Jamróz, Barbara
Walczak, Joanna
Milewska, Magdalena
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1399798.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
dysphagia
FEES
swallowing problems
aspiration
penetration
residues
Opis:
Endoscopic examination of swallowing FEES (fiberoptic endoscopic examination of swallowing) belongs to basic instrumental examinations used in diagnostics of oropharyngeal dysphagia. It consists of three parts: I. Evaluation of the anatomy and physiology of the throat and larynx; II. Assessment of drinking and eating liquids and foods with different consistencies; III. Evaluation of the effectiveness of therapeutic maneuvers. The work aims to present the test procedure and the form used to describe it.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2018, 7, 3; 1-8
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Characteristics of swallowing disorders in patients with dysphonia
Autorzy:
Krasnodębska, Paulina
Szkiełkowska, Agata
Jarzyńska-Bućko, Agnieszka
Włodarczyk, Elżbieta
Miaśkiewicz, Beata
Powiązania:
https://bibliotekanauki.pl/articles/1397489.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
dysphagia
dysphonia
swallowing disorder
voice disorder
Opis:
Introduction: Coexistence of dysphagia with voice disorders is a topic rarely raised in the literature. Particular attention is paid to the aspect of dysfunction of laryngeal and pharyngeal muscles. Aim: The aim of the study was to analyse cases of patients with dysphonia in relation to coexistence of swallowing disorder. Material and method: The material of the study included 515 patients hospitalised due to dysphonia in 2018. Patients whose interview indicated swallowing difficulties were subjected to additional diagnosis for dysphagia (FEES, extended speech therapy test, SEMG). R esults: 11.8% of people requiring treatment for voice disorders reported coexistence of swallowing difficulties. Dysphagia was diagnosed in 9.3%. The percentage of respondents diagnosed with swallowing disorder differed depending on the type of underlying disease and was the highest in the group with neurological disorders. Analysis of the correlation between the severity of dysphagia (according to the assessed grade, DHI, EAT-10 results) and the severity of VHI showed a weak correlation between VHI and EAT-10 (p = 0.1), statistically significant correlations (p < 0,05) between the value of VHI and RSI in people with diagnosed neurological disease, between the value of VHI and DHI in people with hyperfunctional dysphonia and the value of VHI and BMI and EAT- 10 in people with chronic laryngitis. Moreover, statistically significant correlations were found between the severity of dysphagia and EAT-10 and DHI (p < 0.05). The speech therapy test indicated the co-existing problem of non-normative swallowing pattern. The electromyographic study showed the largest asymmetries in recording the average and maximum amplitude from masseters. C onclusions: Treatment of patients with voice disorders requires interdisciplinary care. A history of dysphagia in these patients should complement the medical history of voice disorders. The characteristics of swallowing disorders vary depending on the cause of the voice disorder and their co-occurrence affects on average 9.3% of patients. Coexistence of muscle tension dysphagia with voice disorder requires separate diagnostic protocol. Logopaedic procedure ought to be a key element in the interdisciplinary care of patients suffering from muscle tension dysphagia.
Źródło:
Polish Journal of Otolaryngology; 2020, 74, 2; 17-22
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Application of Volume-Viscosity Screening Test as a screening tool in swallowing disorders diagnosis
Autorzy:
Milewska, Magdalena
Jamróz, Barbara
Chmielewska, Joanna
Clave, Pere
Powiązania:
https://bibliotekanauki.pl/articles/1399903.pdf
Data publikacji:
2018
Wydawca:
Index Copernicus International
Tematy:
deglutition
deglutition disorders
questionnaires
dysphagia
screening
Opis:
It is commonly known that dysphagia is associated with primary (malnutrition, dehydration, aspiration pneumonia) as well as secondary consequences (longer hospital stay, increased treatment cost, higher risk of mortality). Therefore, screening tests in swallowing disorders, especially done in at-risk groups, are essential. The aim of screening is identification of patients at risk of dysphagia and referring patients to further instrumental methods. The test should be noninvasive, quick, easy to perform by medical staff, with highest sensitivity and specificity. An example is the Viscosity – Volume Screening Test (VVST) with 3 different consistencies at 3 volumes (5, 10 and 20 ml), with wider possibilities of this tool in safe consistency and volume indication.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2018, 7, 2; 21-24
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Functional Results after Larynx-Preserving Treatment of Laryngeal Cancer. Suggestions for follow-up
Autorzy:
Vlčková, Katarína
Tedla, Miroslav
Powiązania:
https://bibliotekanauki.pl/articles/1397828.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
dysphagia
dysphonia
functional results
laryngeal cancer
post-treatment follow-up
Opis:
Introduction: Laryngeal cancer and its treatment are associated with both short- and long-term side effects, affecting laryngeal functions and having an impact on the quality of life. Material and methods: Retrospective analysis of the medical records of patients receiving surgical or non-surgical, larynx- -preserving treatment for laryngeal cancer. Results: After termination of the treatment, the highest proportion of patients with bad voice quality was in the glottic carcinoma group (both in early and late phase), with swallowing dysfunction in the transglottic carcinoma group. Compared to the situation before the treatment, the proportion of patients with impaired voice quality (bad voice quality and loss of voice) initially decreased among all groups (except for supraglottic carcinomas), and during the first post-treatment year either increased or did not change. The proportion of patients with no swallowing dysfunction increased in the supraglottic, subglottic and transglottic carcinoma groups. D iscussion: We consider necessary the implementation of a standard pre- and post-treatment monitoring of the voice and swallowing function in the management of patients with laryngeal cancer.
Źródło:
Polish Journal of Otolaryngology; 2019, 73, 5; 31-36
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Rhabdomyoma of the Parapharyngeal Space – A Case Report
Autorzy:
Sieniawska-Buccella, Olga
Osuch-Wójcikiewicz, Ewa
Kazimierska, Karolina
Kukawska, Monika
Rzepakowska, Anna
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1399065.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
benign mesenchymal tumor
dysphagia
parapharyngeal space
rhabdomyoma
Opis:
Introduction: Rhabdomyomas (RM) are rare benign mesenchymal tumors. They are a much more uncommon entity than their malignant counterparts, rhabdomyosarcomas. Rhabdomyomas fall into two general categories: cardiac tumors and extracardiac tumors. Extracardiac myomas are among the rarest tumors in humans and can be classified as fetal and adult, depending on the degree of differentiation of individual tumors by light microscopy. Adult extracardiac myoma is most commonly characterized by the occurrence in the head and neck, and mainly in the laryngeal and pharyngeal area. Case report: This article presents a case of rhabdomyoma of the parapharyngeal space with a review of world literature.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2020, 9, 2; 54-57
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Dysphagia as an interdisciplinary problem. Difficulties in the diagnostic process of the vascular anomaly: a right-sided aortic arch with aberrant left subclavian artery (case report)
Dysfagia jako problem interdyscyplinarny. Trudności diagnostyczne dysfagii w przebiegu wrodzonej wady naczyniowej pod postacią prawostronnego łuku aorty z lewostronną atreria lusoria (opis przypadku)
Autorzy:
Maciejewska, Barbara
Kania, Karolina
Kowal, Piotr
Wiskirska-Woźnica, Bożena
Powiązania:
https://bibliotekanauki.pl/articles/1399742.pdf
Data publikacji:
2018-03-20
Wydawca:
Index Copernicus International
Tematy:
dysphagia
vascular anomaly
arteria lusoria
diagnosis
dysfagia
wada naczyniowa
diagnostyka
Opis:
Dysphagia is an underestimated health problem. At the same time, it is a potentially life-threatening condition. Dysphagia in young adults is rare and thus it is rarely discussed in the literature. Vascular anomalies are much less frequent causes of dysphagia than structural pathologies of the digestive system, iatrogenic lesions or neurological causes. This paper presents a case of a 21-year-old woman with escalating dysphagia in the course of a congenital vascular anomaly in the form of a right-sided aortic arch with retroesophageal left subclavian artery (left arteria lusoria) and compression. The paper highlights delayed symptomatology of the congenital defect, reasons behind the long-lasting diagnostic process, and the role of the laryngological – phoniatric examination in order to exclude oral and pharyngeal causes. The differential diagnostics and treatment options are discussed thereinafter.
Dysfagia jest niedocenianym problemem zdrowotnym, jednocześnie będąc stanem potencjalnie zagrażającym życiu. Dysfagia u młodych dorosłych jest rzadka i rzadko opisywana. Wady naczyniowe należą do znacznie rzadszych przyczyn dysfagii niż patologie strukturalne układu pokarmowego, zmiany jatrogenne czy przyczyny neurologiczne. W pracy przedstawiono przypadek 21-letniej kobiety z narastającą dysfagią w przebiegu wrodzonej wady naczyniowej pod postacią prawostronnego łuku aorty z towarzyszącym nieprawidłowym przebiegiem lewej tętnicy podobojczykowej uciskającej na przełyk. W pracy zwrócono uwagę na późną symptomatologię wady wrodzonej, przyczyny długotrwałego procesu diagnostycznego, rolę badania laryngologiczno-foniatrycznego w wykluczeniu przyczyn ustno- -gardłowych. Przedstawiono diagnostykę różnicową oraz możliwości postępowania leczniczego.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2018, 7, 1; 51-58
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Videofluoroscopic examination – study procedure with an assessment questionnaire
Autorzy:
Chmielewska, Joanna
Jamróz, Barbara
Gibiński, Krzysztof
Sielska-Badurek, Ewelina
Milewska, Magdalena
Niemczyk, Kazimierz
Powiązania:
https://bibliotekanauki.pl/articles/1400065.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
videofluoroscopy
VFSS
VFS
modified barium swallow examination
dysphagia questionnaire
MBS
deglutology
IDDSI
Opis:
In this article, we proposed a questionnaire for assessment of videofluorscopic examination in patients with swallowing disorders. It was developed during years 2015 - 2016 by the Department of Otolaryngology at the Medical University of Warsaw. The main body of the form consists of 3 parts assessing the oral phase, the pharyngeal phase and the esophageal phase. The main column contains a list of specific symptoms with yes/no answers. There is a four-point scale assessing the severity of the disorders from 0 to 3, where 0 corresponds to clinically insignificant findings, 1- mild impairment, 2 - moderate impairment, and 3 – severe impairment. Other elements of the form include: basic demographic and nutritional data, assessment of the consistency and texture of ingested food, food texture recommended based on the evaluation acc. to the recommendations of the International Dysphagia Diet Standardization Initiative (www.iddsi.org), and therapeutic assessment before implementation of speech therapy. The questionnaire was prepared on the basis of Trinity College survey, own experience and literature data.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2017, 6, 1; 12-20
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Acute dyspnea as a manifestation of Forestiers disease. A case report
Autorzy:
Kuryłowicz, Jagoda
Stodulski, Dominik
Garsta, Ewa
Mikaszewski, Bogusław
Powiązania:
https://bibliotekanauki.pl/articles/1398952.pdf
Data publikacji:
2021
Wydawca:
Index Copernicus International
Tematy:
acute laryngeal dyspnea
diffuse idiopathic skeletal hyperostosis
dysphagia
Forestier’s disease
laryngeal oedema
otolaryngological symptoms
stridor
tracheotomy
Opis:
Introduction: Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier’s disease, is a noninflammatory disease and is characterized by ossification of the anterolateral aspect of vertebral bodies, mostly in thoracic part of the spine. Although, usually, DISH is asymptomatic, in rare cases osteophytes located in the cervical part of the spine can cause otolaryngological manifestations, such as dysphagia (most common), hoarseness and stridor Case report: In differential diagnosis of upper respiratory tract symptoms, we should consider DISH. We present case of 82-years old male patient with acute dyspnea, who was diagnosed with osteophytes of C4–C7 vertebral bodies. In this case conservative therapy was not efficient, therefore successful surgical treatment was performed. BMI – Body Mass IndexCRP – C Reactive Protein CT – computed tomography DISH – diffuse idiopathic skeletal hyperostosis GERD – gastro-esophageal reflux disease MRI – magnetic resonance imaging NSAIDs – nonsteroidal anti-inflammatory drugs ORL PPI – proton pump inhibitors Diffuse idiopathic skeletal hypMRerostosis (DISH), also known as Forestier’s disease, was first described under the name “senile ankylosing hyperostisis of the spine” by Jacques Forestier in 1950 [1]. It is a noninflammatory disease, characterized by ossification of the anterolateral aspect of vertebral bodies, mostly in thoracic part of the spine. It may also involve enthesopathy of the extremities. Forestier’s disease is a rather common condition, which affects approximately 40% of older (>65 years old) male patients. Prevalence of DISH increases with age (56% for age >80 years old), BMI and blood pressure [2] and is associated with diabetes mellitus, elevated insulin-like growth factor and hyperuricemia [3].Although usually DISH is asymptomatic, in rare cases osteophytes located in the cervical part of the spine can cause otolaryngological manifestations, such as dysphagia (most common), hoarseness and stridor [4–10]. null null null null An 82-years old man was admitted to the Department of Otolaryngology due to acute dyspnea with stridor at rest. Respiratory disorder was progressing for 2 months. Moreover, patient complained of dysphagia and hoarseness, which were present for a year. The patient was diagnosed with GERD and treatment was administrated. Medical history was significant of duodenal ulcer with perforation and prostate cancer treated with hormonal therapy for 13 months. Flexible nasopharyngoscopy revealed large mass protruding from the posterior wall of hypopharynx and oedema, which concealed interarytenoid notch and partly rima glottis (Fig. 1.). No other abnormalities in ORL examination were present. Increased CRP level and impaired fasting glucose were found in laboratory tests during hospitalization. CT (Fig. 2.) and MRI (Fig. 3.) revealed massive osteophytes on the anterior part of vertebral bodies C4–C7 without intervertebral disc space narrowing, thickened vestibular folds and peri-arytenoid region. X-ray revealed no changes in sacro-iliac joints. Hypopharyngoscopy and microlaryngoscopy were performed in due to rule out neoplastic changes. Antibiotis, steroids and high doses of PPI (proton pump inhibitors) were administered, resulting in oedema decrease and resolution of the symptoms. After 7 months patient was hospitalized again, due to acute dyspnea and stridor. Increased CRP level was found in laboratory tests. Despite conservative therapy (corticosteroids, antibiotics and PPI) no significant respiratory improvement was achieved, therefore decision on surgical treatment was made. Patient was referred to the Department of Neurosurgery where, after elective tracheotomy, cervical osteophytes (C2–C5) were removed, using an anterolateral transcervical approach, without any complications (Fig. 4.). Because of postoperative laryngeal and hypopharyngeal oedema, steroid therapy was maintained. Decannulation was performed on 7th postoperative day, although patient complained of more severe dysphagia with aspiration while swallowing. Nasogastric feeding tube was inserted for 3 weeks. At the 6-month follow up dyspnea and dysphagia are absent, patient successfully swallows solid food and liquids. Endoscopic examination revealed only small protrusion and minor oedema on posterior wall of hypopharynx on the level of arytenoids (Fig. 5., 6.). null null Forestier’s disease otolaryngological manifestations are extremely rare. The most common symptom is dysphagia, aside from it aspiration [11], dyspnea (with or without stridor) and hoarseness [4].Our patient’s main complaint and reason of hospitalization was dyspnea, while dysphagia was secondary problem. Foregoing symptoms can occur not only due to osteophytes compression on larynx and esophagus, but also because of chronic inflammation and chronic or recurrent edema caused by mechanic irritation. Other symptoms, such as aspiration while swallowing, can be caused by impaired movability of epiglottis or vocal chords [8, 11].In presented case symptoms (especially dyspnoe) were increasing during upper respiratory tract infections and due to exacerbation of GERD.In literature authors described similar cases, where inflammation led to oedema, chronic or remitting during infection, which worsened patient’s condition [12, 13] and caused respiratory decompensation, necessitating even urgent tracheotomy [10].During diagnosis of DISH with otolaryngologic manifestations, mirror laryngoscopy and fiberoscopy should be performed. It can reveal fine, firm protrusion on the posterior wall of pharynx, accompanied by oedema and impaired movability of larynx [8].In differential diagnosis of protrusion on the posterior wall of pharynx we should consider retropharyngeal pathologies, such as malignant tumors (including lymphoma), benign tumors, metastases, congenital defects (e.g. vascular malformations), lymphadenopathy, retropharyngeal abscess or massive oedema. Imaging (CT, MRI) can rule out these diseases [14].Forestier’s disease should also be distinguished from other pathologies, which involve vertebral bodies, including ankylosing spondylitis, osteophytes in osteoarthritis or osteomas [3]. Differential diagnosis can be based on Resnick’s radiological classification criteria of DISH [15]: presence of flowing calcification and ossification along with the anterolateral aspects of at least four contiguous vertebral bodies, relative preservation of intervertebral disc height in the involved vertebral segments and absence of apophyseal joint bony ankylosis and sacro-iliac joint erosion, sclerosis or bony fusion.In cases with dysphagia being the main patient’s complaint, esophagogram with barium swallowing should be performed [5, 9, 11]. Elective panendoscopy with biopsy should always be considered to rule out neoplasm [5, 16].If DISH is diagnosed accidently in imaging, we can assume an expectant attitude. Conservative treatment with NSAIDs, steroids and dietary measures can be introduced in cases without weight loss and with minor respiratory symptoms. Gastroesophageal reflux can be symptom-worsening factor, therefore PPI treatment should be considered. If conservative treatment is not effective, osteophytes’ surgical removal is recommended, preferably using anterolateral approach [16].In our case, conservative therapy was not sufficient. Massive hypopharyngeal oedema and stridor were present in spite of high doses of corticosteroids. Due to the pre-operative oedema we decided to perform an elective tracheotomy before neurosurgical intervention, to avoid possible complications [13].It is remarkable, that after surgery dyspnea resolved after few days, whilst dysphagia and aspiration worsened in post-operative time and nasogastric tube insertion was necessary.Authors present this case in aim to draw attention to Forestier’s disease as possible reason for respiratory and gastrointestinal symptoms among elderly people.
Źródło:
Polski Przegląd Otorynolaryngologiczny; 2021, 10, 1; 49-52
2084-5308
2300-7338
Pojawia się w:
Polski Przegląd Otorynolaryngologiczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-15 z 16

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