Giorge HJH

Language: Spanish
References: 13
Page: 147-149
PDF size: 141.03 Kb.

ABSTRACT

Background: Dysphagia is frequently associated with anatomical disorders or neuromuscular dysfunction of the oral cavity, pharynx, larynx or esophagus. The exact incidence of the swallowing problems is not known; because in several occasions they progress unnoticed and them consequences are severe.
Objective: To report techniques and clinics advantages of swallowing across fiberoptic endoscopic evaluation.
Patients and methods: Prospective study in 87 patients referred to the Service of Otolaryngology Head and Neck Surgery of Hospital Español (Mexico) with clinical history of dysphagia and aspiration. Also obtained the questionnaire and expedients of fiber optic endoscopic evaluation. The dysfunction degree was evaluated to establish the nourishing modifications and the complementary or therapeutic measures.
Results: According to the stage of dysfunctional swallowing, 77 patients underwent alterations in the pharynx and laryngeal phase, seven in the oral, three in esophageal, and eight with affection in the three phases. We established complementary strategies and treatment in 68 patients, only complementary in seven, and treatment in eight. Modifications in diet allowed ingesting foods orally in 85 cases.
Discussion: Fiber optic endoscopic evaluation is useful to evaluate the stage of dysfunctional swallowing. This method surpasses barium gulp and can be used as sole or complementary study.
Conclusion: Fiberoptic endoscopic evaluation is useful to value patients with clinical suspicion of aspiration and disorders of swallowing; it allows establishing the therapeutic and complementary strategies to modify the amount and consistency of foods in them diet.

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