Navegando por Palavras-chave "deglutition"
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- ItemAcesso aberto (Open Access)Avaliação clínica e videofluoroscópica da deglutição em crianças com paralisia cerebral tetraparética espástica(Academia Brasileira de Neurologia - ABNEURO, 2003-09-01) Furkim, Ana Maria [UNIFESP]; Behlau, Mara [UNIFESP]; Weckx, Luc Louis Maurice [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); CEFAC; HCORCerebral palsy is a condition that may be associated with swallowing disorders, that is, oropharingeal dysphagia. The aim of this study was to characterize and compare the swallowing processes of 32 children with this condition, by clinical and videofluoroscopic evaluation, with special focus on tracheal aspiration detectability. Results show an important compromise of oral phase. The most important findings during the pharyngeal phase were velopharingeal incompetence and residuals on the pharyngeal recesses. Aspiration was more common with liquids, before and after deglutition. On clinical and videofluoroscopic evaluation, cervical hyperextension was the commonest postural abnormality. Videofluoroscopy confirmed the occurrence of aspiration on most of the cases that presented suggestive signs of aspiration during clinical evaluation. We conclude that clinical and videofluoroscopic evaluations are complementary on deglutition evaluation and together may point to the most specific rehabilitation procedure.
- ItemAcesso aberto (Open Access)Vídeoendoscopia da deglutição na esclerose lateral amiotrófica(Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, 2013-06-01) D'ottaviano, Fabiana Gonçalez; Linhares Filho, Tarcisio Aguiar; Andrade, Helen Maia Tavares de; Alves, Percilia Cardoso Lopes [UNIFESP]; Rocha, Maria Sheila Guimarães [UNIFESP]; Hospital Santa Marcelina Residência Médica em otorrinolaringologia; clínica Otorhinus; Hospital Santa Marcelina Ambulatório de Doenças Neuromusculares; Hospital Santa Marcelina Residência Médica em Neurologia; Universidade Federal de São Paulo (UNIFESP); Hospital do Câncer A. C. Camargo Motricidade Oral em Oncologia; Hospital Santa Marcelina; Hospital Santa Marcelina programa de residencia médica em neurologiaAmyotrophic lateral sclerosis (ALS) is a progressive degenerative motor neuron disease that adversely affects the muscles responsible for swallowing. OBJECTIVE: To assess the oral preparatory, oral transit and pharyngeal phases of swallowing in ALS patients through endoscopic evaluation. METHOD: This cross-sectional historical cohort study included ALS patients submitted to endoscopic examination. Eleven patients (six males and five females; mean age of 61.7 years) were enrolled in the study from january to december of 2011. RESULTS: All patients had alterations in phases of the swallowing process, but only 72.7% complained of dysphagia. The oral preparatory phase was altered in 63.6% of the subjects; the oral transit and pharyngeal phases were altered in all studied individuals, regardless of food consistency. Laryngeal penetration or tracheal aspiration were seen in 90.9% of the patients during the pharyngeal phase while they were swallowing fluids. CONCLUSION: Even in the absence of complaints, dysphagia is a frequent comorbidity in ALS patients. The oral transit and pharyngeal phases were the most frequently affected. Laryngeal penetration or tracheal aspiration occurred more frequently during the pharyngeal phase while patients were swallowing fluids.