Navegando por Palavras-chave "transtornos de deglutição"

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    Avaliação videofluoroscópica da mastigação e deglutição em indivíduos com disfunção temporomandibular (DTM)
    (Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, 2012-08-01) Maffei, Carla; Mello, Marçal Motta de; De Biase, Noemi Grigoletto [UNIFESP]; Pasetti, Lilian; Camargo, Paulo A. Monteiro; Silvério, Kelly Cristina Alves; Gonçalves, Maria Inês Rebelo [UNIFESP]; Hospital da Cruz Vermelha Serviço de Motilidade Digestiva; Hospital São Vicente; ORL; Universidade Federal de São Paulo (UNIFESP); Pontifícia Universidade Católica de São Paulo Faculdade de Fonoaudiologia; Hospital Ecoville Serviço de Cirurgia e Traumatologia Bucomaxilofacial; Hospital Santa Cruz; Hospital Angelina Caron Serviço de Residência Médica Departamento de Laringe; Centro Avançado de ORL Serviço de ORL e Cirurgia Cérvico-Facial; Universidade de São Paulo (USP); Departamento de Fonoaudiologia
    To study mastication and swallowing disorders in patients with temporomandibular disorders (TMD). OBJECTIVE: To investigate mastication and swallowing disorders in patients with severe TMD referred to surgery. MATERIALS AND METHODS: Clinical and experimental study involving ten individuals with TMD submitted to deglutition videofluoroscopy. These patients did not have posterior teeth, mastication pain and food replacement in favor of pasty consistence food. The assessment of the oral and pharyngeal phases approached the following aspects: side of onset and preferential side for chewing, premature escape, remains of food residues in the oral cavity or in the pharyngeal recesses, number of necessary swallowing efforts, laryngeal penetration and/or tracheal aspiration. RESULTS: During mastication and the oral phase we observed tongue compensatory movements upon chewing (n = 7; 70%), premature escape (n = 4; 40%), food remains in the cavity after swallowing (n = 5; 50%) and an excessive number of deglutition efforts (n = 5; 50%). On the pharyngeal phase we observed food remains in the valleculae (n = 6; 60%), in the pyriform sinuses (n = 4; 40%); laryngeal penetration (n = 1; 10%) and tracheal aspiration (n = 4; 40%). CONCLUSION: TMD patients may have alterations in their chewing and swallowing patterns, with laryngeal penetration and/or tracheal aspiration. The study indicates the need for a multidisciplinary assessment because of dysphagia in TMD patients.
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    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 neurologia
    Amyotrophic 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.