Does removal of tracheostomy affect dysphagia? A kinematic analysis.

Dysphagia
Jin Young KangJu Seok Ryu

Abstract

Tracheostomy tubes are thought to increase the incidence of aspiration and several mechanisms that might cause this have been suggested. Some studies reported alterations in laryngeal elevation during swallowing, which they attributed to an anchoring effect of the tracheostomy tube resulting in dysphagia. The purpose of the present study was to kinematically investigate the effect of tracheostomy on the swallowing process in dysphagic patients. Thirteen patients (7 males, 6 females; mean age = 61.4 years) were prospectively enrolled between August 2008 and December 2009. The inclusion criteria for a patient who had undergone tracheostomy were an ability to tolerate tube plugging for 48 h and the capacity to expectorate without assistance. All patients underwent two videofluoroscopic swallow studies (VFSS), before and after decannulation. We measured 21 time interval variables during swallowing in the pharyngeal phase and the extent of laryngeal elevation. No patient exhibited any change in swallowing function status [Penetration - Aspiration Scale (PAS) (median value = 1)] in the interval between the two VFSS tests. Upon kinematic analysis, no significant difference in any variable pertaining to laryngeal elevation or pharyngea...Continue Reading

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Citations

Oct 24, 2012·Dysphagia·William G PearsonCatriona M Steele
Aug 21, 2013·Dysphagia·Soultana PapadopoulouAvraam Ploumis
Mar 29, 2014·Current Opinion in Otolaryngology & Head and Neck Surgery·Brendan A McGrath, Sarah Wallace
Mar 21, 2013·Acta otorrinolaringológica española·Andrés Alvo, Christian Olavarría
Aug 7, 2012·Archives of Physical Medicine and Rehabilitation·Sang Il LeeJu Seok Ryu
Nov 18, 2015·International Journal of Language & Communication Disorders·Aeron Ginnelly, Nan Greenwood
Nov 26, 2015·Annals of Rehabilitation Medicine·Yong Kyun KimSung Sik Cho
Oct 16, 2014·Acta Oto-laryngologica·Alessandra BianchiSimonetta Monini
Nov 3, 2016·Current Opinion in Otolaryngology & Head and Neck Surgery·Mathew B VansantAndrew J McWhorter
Nov 15, 2018·International Journal of Language & Communication Disorders·Diane Goff, Joanne Patterson
Aug 16, 2017·Journal of Speech, Language, and Hearing Research : JSLHR·Angela M DietschWilliam G Pearson
Nov 15, 2019·Critical Care Medicine·Stacey A SkoretzCamilla Dawson
Aug 14, 2020·Progress in Rehabilitation Medicine·Takayuki Mitsuishi, Yoshihito Ishihara
Sep 21, 2019·Dysphagia·James C Borders, Danielle Brates
Jan 16, 2020·Critical Care Medicine·Stacey A SkoretzCamilla Dawson
Aug 2, 2017·Annals of Rehabilitation Medicine·Yong Kyun KimJang-Won Lee
Dec 21, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Laura W J BaijensPere Clavé
May 5, 2021·Neurological Research and Practice·Rainer DziewasChristina Pflug
Jun 19, 2021·The Annals of Otology, Rhinology, and Laryngology·Kimberly LuuReema Padia
Sep 29, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Hiroaki MasudaTatsuya Yamasoba

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