Abstract Postswallow pharyngeal pooling may be a risk factor for tracheal aspiration. However, limited literature shows the potential association between pharyngeal pooling and aspiration in head and neck cancer (HNC) patients. This study investigates the relationship between postswallow pharyngeal pooling and aspiration in HNC patients with oropharyngeal dysphagia. Furthermore, the effects of tumor stage, tumor location, and cancer treatment on aspiration were examined. Ninety...
Abstract Most Zenker’s diverticula (ZD) cohort studies are single-institution retrospective observational studies of recurrence rates. There is a gap in the literature regarding patient-reported outcomes after ZD surgery. This study was conducted to compare if open transcervical diverticulectomy (OD) is better than endoscopic laser diverticulectomy (ELD) or endoscopic stapler-assisted diverticulectomy (ESD). The study design is of systematic review and meta-analysis. The following...
Abstract The purpose of the study is to describe experiences of swallowing with two forms of noninvasive positive-pressure ventilation (NPPV): mouthpiece NPPV (M-NPPV) and nasal bilevel positive airway pressure (BPAP) in people with muscular dystrophy. Ten men (ages 22–42 years; M = 29.3; SD = 7.1) with muscular dystrophy (9 with Duchenne’s; 1 with Becker’s) completed the Eating Assessment Tool (EAT-10; Ann Otol Rhinol Laryngol 117(12):919-924 [33]) and took part in semi-structured...
Abstract We investigated the progression of oropharyngeal dysphagia in patients with multiple system atrophy (MSA), with particular emphasis on MSA subtype variation. Fifty-nine MSA patients (31 MSA-P, 21 MSA-C, and 7 MSA-PC) who had undergone at least one videofluoroscopic swallowing study (VFSS) to evaluate dysphagia symptoms were included. Clinical data and VFSS findings were retrospectively evaluated using the videofluoroscopic dysphagia scale (VDS), and the results of each...
Abstract Over the last two decades, dysphagia is increasingly recognized as a significant short-term and long-term issue in oropharyngeal cancer patients. However, there remains a lack of standardization and agreement about reporting swallowing outcomes in studies that assess treatment outcomes in this population. A systematic review was performed following PRISMA Guidelines by searching Pubmed (MEDLINE) and Scopus. The inclusion criteria used included (1) prospective and retrospective...
Abstract The characteristics of the flows of boluses with different consistencies, i.e. different rheological properties, through the pharynx have not been fully elucidated. The results obtained using a novel in vitro device, the Gothenburg Throat, which allows simultaneous bolus flow visualisation and manometry assessments in the pharynx geometry, are presented, to explain the dependence of bolus flow on bolus consistency. Four different bolus consistencies of a commercial food...
Abstract Modified Barium Swallow Studies (MBSSs) are a fluoroscopic exam that exposes patients to ionizing radiation. Even though radiation exposure from MBSSs is relatively small, it is necessary to understand the excess cancer risk to the patient, in order to ensure a high benefit-to-risk ratio from the exam. This investigation was aimed at estimating the excess radiation risks during MBSSs. We examined 53 adult MBSSs performed using the full Modified Barium Swallow Impairment...
Mark above section as read
Related ArticlesDeep interarytenoid notch in young children managed with systematic thickener wean and injection laryngoplasty. Int J Pediatr Otorhinolaryngol. 2019 Mar;118:115-119 Authors: Basharat U, Schraff S, Stevens LM, Clarke PY, Kang P, Woodward J, Schroeder SR, Rao A, Page N, Williams DI Abstract OBJECTIVES: Deep interarytenoid notch (DIN) is a congenital variation of the larynx often associated with dysphagia and aspiration (DA) in young children....
Related ArticlesThe Effect of Improved Dysphagia Care on Outcome in Patients with Acute Stroke: Trends from 8-Year Data of a Large Stroke Register. Cerebrovasc Dis. 2018;45(3-4):101-108 Authors: Suntrup-Krueger S, Minnerup J, Muhle P, Claus I, Schröder JB, Marian T, Warnecke T, Kalic M, Berger K, Dziewas R Abstract BACKGROUND: Early dysphagia screening and appropriate management are recommended by current guidelines to reduce complications and case...
Related ArticlesPharyngeal Reconstruction with Microvascular Free Tissue Transfer. Semin Plast Surg. 2019 Feb;33(1):78-80 Authors: Sokoya M, Bahrami A, Vincent A, Inman J, Mourad M, Sawhney R, Ducic Y Abstract Reconstruction of pharyngoesophageal defects after total laryngectomies and extirpation of hypopharyngeal and upper esophageal carcinomas presents a challenging task. Goals of reconstruction include adequate voice rehabilitation and restoration...
Related ArticlesSwallowing with Noninvasive Positive-Pressure Ventilation (NPPV) in Individuals with Muscular Dystrophy: A Qualitative Analysis. Dysphagia. 2019 Mar 11;: Authors: Britton D, Hoit JD, Benditt JO, Poon J, Hansen M, Baylor CR, Yorkston KM Abstract The purpose of the study is to describe experiences of swallowing with two forms of noninvasive positive-pressure ventilation (NPPV): mouthpiece NPPV (M-NPPV) and nasal bilevel positive airway...
Related ArticlesLong-term Swallowing Function, Pulmonary Complications, and Quality of Life after Supracricoid Laryngectomy. Otolaryngol Head Neck Surg. 2019 Mar 12;:194599819835189 Authors: Di Santo D, Bondi S, Giordano L, Galli A, Tulli M, Ramella B, Bussi M Abstract OBJECTIVES: Long-term effects of supracricoid laryngectomies are nowadays under discussion. The purpose of this study was to detect the prevalence of chronic aspiration and incidence of...
Related ArticlesSpeech-language therapy offer and primary health care in Brazil: an analysis based on socioeconomic development. Codas. 2019 Feb 11;31(1):e20180083 Authors: Rech RS, Hugo FN, Schmidt JG, Goulart BNG, Hilgert JB Abstract PURPOSE: To describe the presence of speech-language therapists (SLT) in the primary health care (PHC) in Brazil and its association with socioeconomic inequalities. METHODS: Cross-sectional study with 17,157...
Related ArticlesRelationship between swallowing functions and health-related quality of life among community-dwelling dependent older individuals. Jpn J Nurs Sci. 2017 Oct;14(4):353-363 Authors: Morisaki N Abstract AIM: This study analyzed the association between swallowing function levels and health-related quality of life (QOL) among community-dwelling dependent older persons in Japan. METHODS: A cross-sectional survey of a purposive sample...
Related ArticlesTemporal characteristics of laryngeal penetration and aspiration in stroke patients. NeuroRehabilitation. 2019 Mar 07;: Authors: Kim YH, Han TR, Nam HS, Seo HG, Oh BM Abstract BACKGROUND: Despite the importance of understanding penetration-aspiration (PA) in patients with stroke, the pathophysiology of PA remains unclear. OBJECTIVES: This study aimed to investigate the temporal characteristics of PA in post-stroke patients in...
Related ArticlesCharacteristics and Clinical Course of Dysphagia Caused by Anterior Cervical Osteophyte. Ann Rehabil Med. 2019 Feb;43(1):27-37 Authors: Choi HE, Jo GY, Kim WJ, Do HK, Kwon JK, Park SH Abstract OBJECTIVE: To investigate swallowing characteristics of patients with dysphagia caused by anterior cervical osteophytes (ACOs) and compare clinical courses according to treatment options. METHODS: A retrospective analysis of 1,866 videofluoroscopic...
Related ArticlesEffects of Neuromuscular Electrical Stimulation for Masseter Muscle on Oral Dysfunction After Stroke. Ann Rehabil Med. 2019 Feb;43(1):11-18 Authors: Lee KW, Kim SB, Lee JH, Lee SJ, Park JG, Jang KW Abstract OBJECTIVE: To determine positive effect of neuromuscular electrical stimulation (NMES) in conventional dysphagia therapy on masseter muscle oral dysfunction of patients after subacute stroke. METHODS: Among subacute stroke...
Related ArticlesTaste changes in amyotrophic lateral sclerosis and effects on quality of life. Neurol Sci. 2019 Feb;40(2):399-404 Authors: Tarlarini C, Greco LC, Lizio A, Gerardi F, Sansone VA, Lunetta C Abstract The primary aim of the study is to evaluate possible taste changes in a cohort of amyotrophic lateral sclerosis patients (pALS) with dysphagia, focusing on eventual psychological and quality of life (QoL) implications. The second aim is to...
Related ArticlesAuditory and language skills development after cochlear implantation in children with multiple disabilities. Eur Arch Otorhinolaryngol. 2019 Jan;276(1):49-55 Authors: Mesallam TA, Yousef M, Almasaad A Abstract BACKGROUND: Cochlear implantation (CI) in children with additional disabilities can be a fundamental and supportive intervention. Although, there may be some positive impacts of CI on children with multiple disabilities such as...
Related ArticlesProgression of Oropharyngeal Dysphagia in Patients with Multiple System Atrophy. Dysphagia. 2019 Mar 09;: Authors: Do HJ, Seo HG, Lee HH, Oh BM, Kim Y, Kim A, Kim HJ, Jeon B, Han TR Abstract We investigated the progression of oropharyngeal dysphagia in patients with multiple system atrophy (MSA), with particular emphasis on MSA subtype variation. Fifty-nine MSA patients (31 MSA-P, 21 MSA-C, and 7 MSA-PC) who had undergone at least one...
Related ArticlesRadiation exposure during videofluoroscopic swallowing studies in young children. Int J Pediatr Otorhinolaryngol. 2019 Feb 25;121:1-5 Authors: Ko EJ, Sung IY, Choi KH, Kwon YG, Yoon J, Kim T Abstract OBJECTIVES: Swallowing difficulties are best assessed by videofluoroscopic swallowing studies (VFSS). However, limiting radiation exposure is important, especially in young children. The purpose was to evaluate radiation dose in young children...
Related ArticlesPrevalence and association of oral candidiasis with dysphagia in individuals with acquired brain injury. Brain Inj. 2018;32(2):247-251 Authors: Odgaard L, Kothari M Abstract OBJECTIVE: To describe the prevalence of oral candidiasis (OC) in individuals with acquired brain injury (ABI) and to evaluate the association of OC with improvement in dysphagia. DESIGN: Longitudinal observational study. METHODS: Individuals with...
Related ArticlesAcupuncture combined with swallowing training for poststroke dysphagia: a meta-analysis of randomised controlled trials. Acupunct Med. 2019 Mar 07;:acupmed2016011305 Authors: Li LX, Deng K Abstract OBJECTIVE:: This meta-analysis aimed to assess the efficacy and safety of the combination of acupuncture with swallowing training for poststroke dysphagia. METHOD:: Nine electronic databases (including PubMed and China National Knowledge...
Related ArticlesSkill Training Resulted in Improved Swallowing in a Person with Multiple System Atrophy: An Endoscopy Study. Mov Disord Clin Pract. 2018 Jul-Aug;5(4):451-452 Authors: Perry SE, Sevitz JS, Curtis JA, Kuo SH, Troche MS PMID: 30838304 [PubMed]
Related ArticlesThe Anatomical Relationships of the Tongue with the Body System. Cureus. 2018 Dec 05;10(12):e3695 Authors: Bordoni B, Morabito B, Mitrano R, Simonelli M, Toccafondi A Abstract The tongue plays a fundamental role in several body functions such as swallowing, breathing, speaking, and chewing. Its action is not confined to the oral cavity, but it affects lower limb muscle strength and posture. The tongue is an organ that has an autocrine/paracrine...
Related ArticlesClinical Measures of Bulbar Dysfunction in ALS. Front Neurol. 2019;10:106 Authors: Yunusova Y, Plowman EK, Green JR, Barnett C, Bede P Abstract Bulbar impairment represents a hallmark feature of Amyotrophic Lateral Sclerosis (ALS) that significantly impacts survival and quality of life. Speech and swallowing dysfunction are key contributors to the clinical heterogeneity of ALS and require well-timed and carefully coordinated interventions....
Related ArticlesEfficacy of Early Endoscopic Intervention for Restoring Normal Swallowing Function in Patients with Lateral Medullary Infarction. Toxins (Basel). 2019 Mar 04;11(3): Authors: Kang SH, Kim JS, Joo JS, Eun HS, Lee ES, Moon HS, Kim SH, Sung JK, Lee BS, Jeong HY, Kim Y, Sohn MK, Jee S Abstract Dysphagia is considered to be a significant barrier for recovery after lateral medullary infarction (LMI). However, there is still no gold standard...
Related ArticlesThe Effects of Electrical Stimulation Pulse Duration on Lingual Palatal Pressure Measures During Swallowing in Healthy Older Adults. Dysphagia. 2019 Feb 28;: Authors: Barikroo A, Hegland K, Carnaby G, Bolser D, Manini T, Crary M Abstract Limited research in swallowing physiology has suggested that the most common existing transcutaneous electrical stimulation (TES) protocol (VitalStim) may not penetrate to layers of tissue to affect deep...
Related ArticlesRehabilitation Nutrition for Iatrogenic Sarcopenia and Sarcopenic Dysphagia. J Nutr Health Aging. 2019;23(3):256-265 Authors: Nagano A, Nishioka S, Wakabayashi H Abstract Sarcopenia is a very important issue in rehabilitation medicine and nutritional care. The prevalence of sarcopenia in older people is approximately 50% in the rehabilitation setting, and also approximately 15% of inpatients without sarcopenia upon admission developed...
Mark above section as read
The role of low‐grade inflammation and mucosal immune activation in irritable bowel syndrome (IBS) is controversial and remains poorly understood. We used multivariate analysis of the mucosal gene expression to identify a subset of patients with evidence of increased immune activation in the colon descendens, but not in the rectum. However, the clinical characteristics of the immuno‐active subgroup did not differ from the rest of the IBS patient cohort, therefore suggesting no direct relationship...
This study has revealed, for the first time, that PDGFRα signaling was essential for the development and functional maintenance of SIP syncytium. And we further supposed that smooth muscle cells, interstitial cells of Cajal, and PDGFRα+ cells shared common progenitors in GI. These results also indicated that downregulation of PDGFRα signaling may be involved in certain gastrointestinal motility disorders. Abstract Background The SIP syncytium in the gut consists of smooth muscle cells, interstitial...
We wish to report a case of Jackhammer esophagus in a patient with laparoscopic gastric band, with confirmed resolution of hypertensive peristalsis on deflation of the band. This finding adds to the growing body of evidence that outlet obstruction plays an important role in the pathophysiology of Jackhammer esophagus, which remains incompletely defined.
Abstract The epithelial lining of the gastrointestinal (GI) tract in conjunction with the enteric nervous system (ENS) plays an important role in mediating solute absorption and secretion. A dysregulated ionic movement across the epithelium can result in GI diseases that manifest as either watery diarrhea or constipation. Hirschsprung disease is an example of an ENS disorder characterized by absence of enteric ganglia in distal gut resulting in obstructive phenotype. Receptor rearranged during transfection...
Colonic diverticulosis occurs in up to 65% of people over the age of 60 years. About 20% of patients develop symptoms, a condition named symptomatic uncomplicated diverticular disease (SUDD). The pathophysiology of SUDD is still unclear. We show for the first time that the colonic mucosa of patients with SUDD is characterized by nerve fiber outgrowth and a higher number of macrophages in close proximity to these fibers. These findings have implications for a better understanding of SUDD pathophysiology...
Bisphenol A is commonly used in the production of plastics and has multidirectional, negative effects on the living organisms. It may also affect the enteric nervous system (ENS) located in the wall of the gastrointestinal tract. Enteric neurons express many active substances, which regulate majority of intestinal activities not only in physiological conditions abut also under the impact of pathological factors. Abstract Background Bisphenol A (BPA) is commonly used in the production of plastics...
Mark above section as read
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου