| Autor: | Yuji Koyama, Kazuo Sakaizumi, Shin-ichi Izumi, Akira Ishida, Kiichi Takemoto |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
Epiglottic Movement Rehabilitation business.industry medicine.medical_treatment digestive oral and skin physiology Dysphagia Surgery medicine.anatomical_structure Tongue Vallecula otorhinolaryngologic diseases Medicine Sphincter medicine.symptom business Range of motion Diffuse Idiopathic Skeletal Hyperostosis |
| Zdroj: | The Japanese Journal of Rehabilitation Medicine. 37:609-612 |
| ISSN: | 1880-778X 0034-351X |
| DOI: | 10.2490/jjrm1963.37.609 |
| Popis: | We experienced rehabilitation of two patients with pharyngeal stage dysphagia due to diffuse idiopathic skeletal hyperostosis (DISH). Videofluoroscopic examination of swallow function (VF) revealed that large cervical osteophytes interfered with the downward tilt of the epiglotis and the opening of the cricopharyngeal sphincter. Anterolateral osteophytectomy was performed for the two patients to whom supraglottic swallow was taught. However, 2 month postoperative VF demonstrated residue in the vallecula after the swallow of liquid and jelly. We continued to lead the effortful swallow and range of motion tongue exercises for the two patients. As a result, it was suggested that these approach were effective for the improvement of epiglottic movement. |
| Databáze: | OpenAIRE |
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