A Case Presentation in Management of Dysphagia and Dysarthria Caused due to Organophosphorus and Carbamate Insecticide Poisoning.

Autor: Das K; Department of ENT, Nazareth Hospital, Shillong, Meghalaya India., Nongrum HB; Department of ENT, Nazareth Hospital, Shillong, Meghalaya India., Mukherjee R; Department of Life Sciences, Presidency University, Kolkata, West Bengal India., Bhattacharjee S; Department of Medicine, Nazareth Hospital, Shillong, Meghalaya India., Bhatia D; Department of Biomedical Engineering, NEHU, Shillong, Meghalaya India.
Jazyk: angličtina
Zdroj: Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India [Indian J Otolaryngol Head Neck Surg] 2024 Oct; Vol. 76 (5), pp. 4717-4723. Date of Electronic Publication: 2024 Jun 11.
DOI: 10.1007/s12070-024-04794-6
Abstrakt: Organophosphorus and carbamate Insectiside is common in Asia-Pacific region consisting of 63% of the Global death. Organophosphorus and Carbamate poisoning can lead into different complications in the respiratory,digestive,neurological aspects and maybe fatal in certain cases.Besides medical management of the same,early rehabilitation is also required to manage different kinds of neurological aspects caused due to Organophosphorus and carbamate poisoning. The study was done to introspect the early intervention in swallowing and speech therapy in organophosphorus and carbamate poisoning individual,as a part of management besides medical intervention. A 19 years old female reported to the hospital with history of consuming organophos and carbamate insecticide with the intention of self harming causing cardiac arrest and as diagnosed as Flaccid Dysarthria with Oro-Pharyngeal Dysphagia when assessed with diagnostic tools respectively. Early speech and swallowing intervention was provided and introspected using MASA which showed improvement in scores during the therapeutic intervention and was statistically analysed using linear regression analysis. The result showed the improvement in MASA scores (the slope of the best fit) and proved that MASA scores improved significantly (slope = 14.3, p  < 0.05) over time as the therapy sessions proceeded. The regression model was also significant ( p  < 0.05). The motor-speech therapeutic intervention provided improvement in the kinematics of oro-motor skills along with improvement in intelligibility of speech. This study concludes that early intervention in managing speech and swallowing abilities in Dysarthria and Dysphagia is helpful besides medical intervention in such cases.
Competing Interests: Conflict of interestNone.
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Databáze: MEDLINE
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