Laryngopharyngeal sensory deficits as a predictor of aspiration
| Autor: | Michael Setzen, Kenneth F. Mattucci, Manderly Cohen, Michael Ditkoff, Philip W. Perlman |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male medicine.medical_specialty Flexible Endoscopic Evaluation of Swallowing with Sensory Testing Sensory system Pharyngeal muscles 03 medical and health sciences 0302 clinical medicine medicine Humans 030223 otorhinolaryngology Aged Aged 80 and over Reflex Abnormal business.industry Sensory loss Middle Aged Dysphagia Surgery Exact test Hypopharynx Increased risk medicine.anatomical_structure Otorhinolaryngology Inhalation 030220 oncology & carcinogenesis Reflex Female medicine.symptom Laryngeal Muscles business Deglutition Disorders |
| Zdroj: | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 124(6) |
| ISSN: | 0194-5998 |
| Popis: | Objective: This study evaluates whether patients with severe sensory deficits in the hypopharynx are at increased risk for aspiration and determines the relationship between pharyngeal muscular weakness and hypopharyngeal sensory deficits. Study Design and Setting: Forty patients with dysphagia who underwent flexible endoscopic evaluation of swallowing with sensory testing were prospectively divided into 2 groups. One group included patients with severe sensory deficits determined by an absent laryngeal adductor reflex and the other with normal sensitivity. Subjects were given liquid and puree consistencies and were evaluated for aspiration as well as pharyngeal muscle contraction. Results: The differences in incidence of aspiration and pharyngeal muscular weakness between the 2 groups were significant (P < 0.001 Fisher's exact test). Conclusion: There is a strong association between motor function deficits and hypopharyngeal sensory deficits. Significance: The association of sensory loss and motor deficits together with the use of flexible endoscopic evaluation of swallowing with sensory testing can predict those patients who are at highest risk for aspiration. (Otolaryngol Head Neck Surg 2001;124:622-4.) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text