Otolaryngology and speech therapy evaluation in the assessment of oropharyngeal dysphagia: a combined protocol proposal

Santoro, Patrícia Paula; Furia, Cristina Lemos Barbosa; Forte, Ana Paola; Lemos, Elza Maria; Garcia, Roberta Ismael Dias; Tavares, Raquel Aguiar; Imamura, Rui

doi:10.1590/s1808-86942011000200010

Cited by 36 publications

(27 citation statements)

References 16 publications

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“…Conflict of interest: non-existent functional constraints and complications, such as tracheal aspiration of food in lower airways, pneumonia and malnutrition, hindering quality of life in several aspects: emotional, physical and social ones 3,4 . Dysphagia as a consequence of Cerebrovascular Accident is considered a comorbidity related to the patient's kind of lesion and age.…”

Section: Avaliação Da Qualidade De Vida Em Pacientes Com Disfagia Neumentioning

confidence: 99%

Avaliação da qualidade de vida em pacientes com disfagia neurogênica

et al. 2015

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RESUMO: Objetivo: avaliar a qualidade de vida de pacientes com Acidente Vascular Encefálico e disfagia neurogênica. Métodos: estudo quantitativo, do tipo transversal, descritivo, realizado no Setor de Neurologia de um Hospital de Ensino, em Curitiba- Paraná. A amostra foi constituída de 35 indivíduos com Acidente Vascular Encefálico e queixa de disfagia. Os dados foram coletados por meio de questionário para avaliação da qualidade de vida em disfagia. Resultados: nas variáveis sociodemográficas houve predomínio de homens, idosos, brancos, casados e primeiro grau incompleto. A avaliação de qualidade de vida demonstrou que os domínios que apresentaram alterações foram os que investigam como a alteração da deglutição tem afetado o aspecto social dos participantes. A correlação de Mann-Whitney evidenciou significância estatística (p < 5) quando relacionou a deglutição como um fardo com o tempo de se alimentar (p 0,002), frequência dos sintomas (p <0,001), saúde mental (p <0,001) e fadiga (p <0,001). Conclusão: o levantamento estatístico comprovou o impacto causado pela disfagia neurogênica na qualidade de vida dos pacientes acometidos por Acidente Vascular Encefálico, representado pelas alterações encontradas nos resultados de avalição da qualidade de vida. Na correlação de Mann-Whitney, ao se realizar os cruzamentos entre os domínios do instrumento, os dados evidenciaram significância estatística quanto ao tempo de alimentação, medo de se alimentar, saúde mental, social e fadiga, que causam prejuízo na qualidade de vida dos pacientes com disfagia neurogênica.

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Section: Avaliação Da Qualidade De Vida Em Pacientes Com Disfagia Neumentioning

confidence: 99%

Avaliação da qualidade de vida em pacientes com disfagia neurogênica

et al. 2015

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“…VZV neuropathy with dysphagia in elderly people rarely had a poor prognosis [7,8], but, by appropriate treatment and rehabilitation treatment, was able to acquire a good function. Also, we were able to prevent pneumonia by managing the cannula for a long term.…”

Section: Resultsmentioning

confidence: 99%

The Importance of Rehabilitation of Varicella Zoster Virus Neuropathy with Dysphagia: A Case Report and Literature Review

Nagai¹,

Ito²,

Nishizaka³

et al. 2017

Int J Phys Med Rehabil

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Dysphagia due to the varicella zoster virus (VZV) infection has the type of the main constituent Hunt syndrome and dysphagia of the main constituent a facial paralysis. The difference is considered to be the thing due to the ganglionic site which a virus reactivated. We report a case of the rehabilitation for dysphagia due to the VZV viral infection. Keywords: Rehabilitation; Varicella zoster virus; Dysphagia Case ReportA 76-year-old-female patient came to a nearby hospital with a sore throat and hoarseness in August, 2016. In acknowledgement of laryngeal edema, she was admitted to other hospital and did tracheotomy. There was the remaining, but the remaining was able to be eliminated by adding deglutition in the videofluorography at admission.VZV IgG rose by a blood test, and VZV virus neuropathy with dysphagia was diagnosed. She was admitted to the hospital for rehabilitation 65 days later. The Barthel index (BI) was 80 point and she had diabetes, hypertension, a gastric ulcer, but the control was good. The soft palate and lingual were normal. Left vocal cord paralysis was detected in swallowing videoendoscopy (VE) at admission, and the left vocal cord was fixed in a cadaveric position (Figure 1). Also, a larynx had remaining swallowing videofluorography (VF), but the remaining removal was possible in additional deglutition and compensation movement (Figure 2).There was a larynx invasion and a diet was paste foods and ate in 60 degrees reclining position, cervical rotation rank. The rehabilitation program trained her for dysphagia directly and conducted muscular strength reinforcement for muscle weakness. The diet was ingested by tube feeding two weeks before she was admitted, and she continued a paste meal after admission. There was not the aspiration in 90 degrees She removed a cannula 109 days after the onset, and became calm and finally became able to almost take in general diet with nothing. The ADL became independent, and the FIM became 126 points and became the home discharge 131 days after the onset. In VE at discharge, pharyngeal paralysis was improved and there was not the velopharyngeal insufficiency (Figures 3 and 4). Figure 4: There was the remaining, but the larynx movement was improved in the videofluorography at discharge. International Journal of PhysicalMedicine & Rehabilitation Nagai et al., Int J Phys Med Rehabil 2017, 5:In VF at discharge, a larynx had the remaining, but the movement was improved. Because a little larynx invasion was found when we consumed water, we taught it to drink by small quantity. DiscussionThe cause of the mixed laryngeal nerve paralysis is vascular and is neoplastic, and there is postoperative infectivity. The reports of the viral mixed laryngeal nerve paralysis increased [1][2][3][4][5][6][7].The diagnosis is confirmed by demonstration of VZV-DNA or VZV-antibodies in the CSF [8,9]. If there is unilateral herpes zoster infection of the larynx, insilateral LCN may be affected [10]. Our case had a diagnosis in VZV antibody in the CSF similarly.As for the tr...

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“…No que se refere à avalição realizada para o diagnóstico da disfagia, os estudos mostram dois métodos principais para sua avaliação e rastreio: a avalição clínica e os exames instrumentais, como a videofluroscopia da deglutição e a nasofibrolaringoscopia da deglutição. 27,28 A avaliação clínica da deglutição oferece muitas informações com relação ao processo de deglutição do indivíduo em que é realizada uma avaliação das estruturas anatômicas envolvidas, como postura, tônus, mobilidade e sensibilidade das estruturas que participam do processo da deglutição e a fisiologia de suas fases, com oferta de alimentos em diferentes quantidades e consistências. 27 Embora a realização de exames objetivos como a videofluoroscopia da deglutição seja considerada o método mais confiável para a avaliação da deglutição, seu alto custo e a escassez de locais que a fazem inviabilizam a realização deste exame em ambientes clínicos ambulatoriais do setor público; sendo muitas vezes a avaliação clínica a única possível de ser feita, realidade esta presente no estado de Alagoas, tendo em vista que não há a oferta do exame em serviço público.…”

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