Swallowing problems in neuromuscular disorders

Willig, T.N.; Paulus, J.; Saint-Guily, J. Lacau; Béon, C.; Navarro, J

doi:10.1016/0003-9993(94)90001-9

Cited by 160 publications

(120 citation statements)

References 14 publications

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“…É unânime na literatura que o tratamento multidisciplinar ao portador de disfagia orofaringeal facilita o diagnóstico e pode evitar casos de pneumonia, aspiração, desidratação, desnutrição e obstrução aérea 3,14,27,29,30 .…”

Section: Discussionunclassified

Disfagia orofaríngea na distrofia miotônica: avaliação fonoaudiológica e análise nasofibrolaringoscópica

Chiappetta

Oda

Zanoteli

et al. 2001

Arq. Neuro-Psiquiatr.

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RESUMO -Apresentamos vinte pacientes com distrofia miotônica de Steinert, avaliados entre 1995 e 1999, pela análise fonoaudiológica e nasofibrolaringoscópica, com o objetivo de analisar e classificar as alterações da deglutição orofaríngea e funções do sistema estomatognático e considerar os fatores preditivos. A idade dos pacientes variou de 12 a 53 anos; 13 eram do sexo masculino e 7 do feminino. Os principais achados foram: (1) há relação estatisticamente significante entre avaliação fonoaudiológica e nasofibrolaringoscópica; (2) foram observadas alterações do sistema estomatognático, em 100% dos casos; (3) foram registradas alterações de deglutição em 95% dos pacientes, à avaliação fonoaudiológica, e em 70%, à nasofibrolaringoscopia; (4) os pacientes têm maior dificuldade para deglutir alimentos consistentes; (5) os músculos estomatognáticos muito alterados, desordem da fase faringeal, tosse após deglutição, antecedentes de pneumonia e queixas de mastigação/ deglutição apresentaram correlação estatisticamente significante com maior gravidade da doença. Foram avaliadas, estática e funcionalmente, estruturas envolvidas na dinâmica da deglutição. Esta avaliação deve constar da rotina do atendimento aos pacientes com distrofia miotônica de Steinert.PALAVRAS-CHAVE: deglutição, endoscopia, doenças musculares, distrofia miotônica de Steinert. Oropharyngeal dysphagia in the myotonic dystrophy: phonoaudiological evaluation and nasofibrolaryngoscopical analysis.ABSTRACT -We herein present twenty myotonic dystrophy of Steinert patients with the main objective to evaluate and classify the oropharyngeal swallowing by the phonoaudiological clinical and nasofibrolaryngoscopical analysis. The age of the patients varied from 12 to 53 years, being 13 male and 7 female. The mean data: (1) statistically significant relation between the phonoaudiological clinical evaluation and nasofibrolaryngoscopical one; (2) stomatognatical system disorders present in 100%; (3) swallowing disorders present in 95%, when clinically evaluated, and in 70% when evaluated by the nasofibrolaryngoscopy; (4) higher difficulty to swallow consistent feed; (5) stomatognatical muscles very altered, pharyngeal phase disorders, cough after swallowing, antecedents of pneumonia and complaints of chewing/swallowing presented statistically significant correlation with severity of the sickness. The analysis were able to evaluate statical and functionally the involved structures in the swallowing, having got to take part of the rotine of attendance to the patients with myotonic dystrophy of Steinert.KEY WORDS: swallowing, endoscopy, muscle diseases, myotonic dystrophy of Steinert. A distrofia miotônica de Steinert (DMS) é a forma mais frequente das distrofias musculares, de iní-cio na idade adulta, merecendo uma atenção multiprofissional especial. A prevalência é de aproximadamente 4/100.000 1 . Trata-se de doença multissistêmica de herança autossômica dominante, decorrente de expansão do triplo CGT no braço longo do cromossomo 19. Observa-se ainda o fenômeno da ...

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Section: Discussionunclassified

Disfagia orofaríngea na distrofia miotônica: avaliação fonoaudiológica e análise nasofibrolaringoscópica

Chiappetta

Oda

Zanoteli

et al. 2001

Arq. Neuro-Psiquiatr.

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“…It promotes the formation of a posterior cross-bite, and a reduction in overbite and late tooth development, 25 and these alterations significantly influence the performance of the stomatognathic system. According to other authors such as Botteron et al, 17 Willig et al, 26 and Ueki et al 27 the dystrophy also leads to difficulties in swallowing, decreased muscle strength, atypical mouth opening with swallowing, and macroglossia.…”

Section: Discussionmentioning

confidence: 99%

Retracted: ‘The effects of Duchenne muscular dystrophy on the performance of the stomatognathic system: case–control study’, by Ferreira B., Da Silva G.P., Gonçalves C.R., et al.

Ferreira

Silva

Gonçalves

et al. 2015

Develop Med Child Neuro

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The above article, published online on 13 February 2015 in Wiley Online Library Early View (wileyonlinelibrary.com), has been retracted by agreement between the authors, the journal editors, Bernard Dan and Peter Rosenbaum, the MacKeith Press and John Wiley & Sons Ltd. The retraction has been made due to concerns relating to the validity of the EMG methodology and its interpretation, which affect the results of the paper. Reference

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“…6,7 Feeding problems may present at birth, requiring a nasogastric tube for safety, adequate nutritional intake, or both. Chewing difficulties can be a later complication, leading to prolonged mealtimes and limiting the volume of food taken.…”

mentioning

confidence: 99%

Gastrostomy placement in paediatric patients with neuromuscular disorders: indications and outcome

Ramelli

Aloysius

King

et al. 2007

Develop Med Child Neuro

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Studies of children with neurodevelopmental disorders have shown that receiving nutrition through a gastrostomy can improve clinical outcomes and quality of life. However, there is little information on gastrostomy and its effect in patients with neuromuscular disorders. A retrospective casenote review of all patients with a gastrostomy, followed‐up at the Hammersmith Hospital, London, was undertaken to assess the indications for, and outcomes of, gastrostomy placement. Notes for 32 patients (17 males, 15 females) were reviewed (age range 32mo–31y; median age 12y 5mo). We found three main groups of diagnoses: congenital muscular dystrophy (n=15), structural congenital myopathies (n=11), and other neuromuscular disorders (n=6). Two main patterns of feeding problems were identified before gastrostomy: swallowing difficulties, and nutrition and growth problems. The follow‐up period after gastrostomy was from 12 months to 19 years (mean 5y). Weight faltering was reversed in 17 out of 22 patients, and height faltering in 9 out of 14, where data were available. Twenty‐six patients had a reduced frequency of chest infections. No significant complication of gastrostomy placement was documented. Twenty‐eight patients or their families were happy with the results of the gastrostomy. Gastrostomy seems to have a substantial positive impact in patients with neuromuscular disease and feeding difficulties.

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Swallowing problems in neuromuscular disorders

Cited by 160 publications

References 14 publications

Disfagia orofaríngea na distrofia miotônica: avaliação fonoaudiológica e análise nasofibrolaringoscópica

Disfagia orofaríngea na distrofia miotônica: avaliação fonoaudiológica e análise nasofibrolaringoscópica

Retracted: ‘The effects of Duchenne muscular dystrophy on the performance of the stomatognathic system: case–control study’, by Ferreira B., Da Silva G.P., Gonçalves C.R., et al.

Gastrostomy placement in paediatric patients with neuromuscular disorders: indications and outcome

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