Oropharyngeal dysphagia in patients with chronic obstructive pulmonary disease: a systematic review

O'Kane, Lisa; Groher, Michael E.

doi:10.1590/s1516-18462009005000040

Cited by 20 publications

(25 citation statements)

References 52 publications

(124 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…At the time when a food is swallowed, there occurs a pause in breathing for a few seconds, and the breath returns in the expiratory phase, thereby avoiding aspiration (1). In cases where the relationship between breathing and swallowing reflex is disturbed, the risk of aspiration increases (2)(3)(4).…”

Section: Discussionmentioning

confidence: 99%

“…Although clinical evaluation showed normal swallowing, videofluoroscopic examination revealed that laryngotracheal aspiration reduced due to the decreased sensitivity of the laryngeal region (7). Several studies assessing how swallowing dysfunction occurs in COPD have suggested that patients with COPD have a longer pharyngeal phase of swallowing (1). It is associated with a decrease in the difference between duration of maximal laryngeal elevation and duration of pharyngeal transit (8).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An Aspiration of Cocklebur (Xanthium strumarium) Showing Impaired Swallowing Reflex in a Patient with Chronic Obstructive Pulmonary Disease

Çoban¹,

Güngen²,

Aydemir³

et al. 2017

Respir Case Rep

View full text Add to dashboard Cite

A 64-year-old male patient who was under follow-up for chronic obstructive pulmonary disease (COPD) for 10 years was admitted with persistent cough for the past two years. Bronchoscopy due to atelectasis of the right lower lobe showed aspiration of common cocklebur (Xanthium strumarium). Herein, we present the dramatic case of COPD with accidental aspiration of a foreign body with spiny projections, which was large for the respiratory system and resulted in impaired swallowing reflex.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An Aspiration of Cocklebur (Xanthium strumarium) Showing Impaired Swallowing Reflex in a Patient with Chronic Obstructive Pulmonary Disease

Çoban¹,

Güngen²,

Aydemir³

et al. 2017

Respir Case Rep

View full text Add to dashboard Cite

show abstract

“…Swallowing difficulty is a comorbidity of a number of pathologies that can dramatically decrease quality of life, leading to malnutrition, dehydration, aspiration pneumonia, mealtime anxiety, and social isolation . The pharyngeal phase of swallowing, which involves over 20 muscles suspended by the skull base and mandible to convert a respiratory channel into an alimentary tract and back again in less that 1 second, is complex .…”

Section: Introductionmentioning

confidence: 99%

Functional Modules of Pharyngeal Swallowing Mechanics

Hosseini

Tadavarthi

Martin‐Harris

et al. 2019

Laryngoscope Investig Oto

View full text Add to dashboard Cite

Objectives The present retrospective cohort study aims to test the hypothesis that elements of swallowing mechanics including hyoid movement, laryngeal elevation, tongue base retraction, pharyngeal shortening, pharyngeal constriction, and head and neck extension can be grouped into functional modules, and that these modules are predictably altered in disease states. Methods Modified barium swallow video clips of a thick and a thin liquid swallow from 40 normal patients and 10 dysphagic post‐treatment oropharyngeal head‐and‐neck cancer (HNC) patients were used in this study. Coordinate locations of 12 anatomical landmarks mapping pharyngeal swallowing mechanics were tracked on every frame during the pharyngeal phase of each swallow using a custom‐made MATLAB tool. Morphometric modularity hypothesis testing was performed on these coordinate data to characterize the modular elements of swallowing function in each cohort using MorphoJ software. Results The elements of normal swallowing can be grouped into four functional modules including bolus propulsion, pharyngeal shortening, airway protection, and head and neck posture. Modularity in HNC patient showed an intact airway protection module but altered bolus propulsion and pharyngeal shortening modules. To cross‐validate the alteration in modules, a post hoc analysis was performed, which showed significantly increased vallecular ( P < .04) and piriform ( P < .05) residue but no significant change in aspiration status in the HNC cohort versus controls. Conclusions This study suggests that while pharyngeal swallowing mechanics is highly complex, the system is organized into functional modules, and that changes in modularity impacts swallowing performance. This approach to understanding swallowing function may help the patient care team better address swallowing difficulties. Level of Evidence 2b

show abstract

“…Postprandial aspiration of food particles and more commonly liquids into the airways can lead to COPD exacerbation. In turn, during COPD exacerbation from all causes, oropharyngeal dysphagia can worsen [2]. Repeated aspiration can lead to serious sequela in COPD patients including pneumonia, infection, worsening lung function and even death [3].…”

Section: Introductionmentioning

confidence: 99%

Oropharyngeal Dysphagia with Aspiration as a Provoking Factor for COPD Exacerbation

Darwich¹,

Pracha²,

Miller³

2019

AJIM

View full text Add to dashboard Cite

The most common provoking factors for chronic Obstructive Pulmonary Disease (COPD) exacerbation include viral and bacterial tracheobronchitis, pneumonia, and exposure to environmental irritants and air pollution. In many patients with COPD exacerbation, the underlying cause cannot be identified. In general, patients with COPD exacerbation get admitted to the hospital and treated with antibiotics, glucocorticoids and inhaled bronchodilators. Oropharyngeal dysphagia is an under-recognized provoking factor for COPD exacerbation. Patients with advanced COPD often have impaired coordination of respiration and deglutition which can lead to aspiration of liquids, food particles, and saliva into the airways. Aspiration events can lead to exacerbation of symptoms and cause further decline in lung function. We described a 69-year-old male with a history of COPD who presented with progressive dyspnea, productive cough and hypoxia which required intubation and mechanical ventilation. The patient underwent a bronchoscopy for airway inspection which showed pieces of meat in the right main bronchus which were removed. Reportedly, the patient was having difficulty swallowing solid food prior to admission to the hospital.

show abstract

Oropharyngeal dysphagia in patients with chronic obstructive pulmonary disease: a systematic review

Abstract: Background: oropharyngeal dysphagia in patients with chronic obstructive pulmonary disease.

Cited by 20 publications

References 52 publications

An Aspiration of Cocklebur (Xanthium strumarium) Showing Impaired Swallowing Reflex in a Patient with Chronic Obstructive Pulmonary Disease

An Aspiration of Cocklebur (Xanthium strumarium) Showing Impaired Swallowing Reflex in a Patient with Chronic Obstructive Pulmonary Disease

Functional Modules of Pharyngeal Swallowing Mechanics

Oropharyngeal Dysphagia with Aspiration as a Provoking Factor for COPD Exacerbation

Contact Info

Product

Resources

About