Dysphagia due to massive retropharyngeal and pre-vertebral abscess

Hendriks, Thomas; Quick, Mark; Yuen, Paul C.

doi:10.1136/bcr-2018-228162

Cited by 4 publications

(2 citation statements)

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“…This test may also be employed to diagnose dysphagia based on aspiration clinical signs, such as suffocation, coughs, and a wet voice [ 37 ]. Assessments also include differential diagnosis from dysphagia caused by organic causes such as pharyngeal tumors [ 38 – 40 ]. Since US provides an objective assessment of the motion of the hyoid bone and larynx and may help to detect NOD, it may be added to the current swallowing screening test for the more detailed management [ 41 , 42 ] of dysphagic patients.…”

Section: Discussionmentioning

confidence: 99%

Detection of poststroke oropharyngeal dysphagia with swallowing screening by ultrasonography

Matsuo

Matsuyama

2021

PLoS ONE

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There are currently no standard evaluation tools for poststroke neurogenic oropharyngeal dysphagia. We previously suggested calculating the relative movements of the hyoid bone and larynx by ultrasonography to evaluate swallowing movement. Swallowing movement is altered in neurogenic oropharyngeal dysphagia. Therefore, the present study aimed to verify whether an ultrasonographic evaluation of swallowing movement facilitates the detection of neurogenic oropharyngeal dysphagia. Eighteen healthy male elderly participants (the healthy group) and 18 male stroke patients diagnosed with neurogenic oropharyngeal dysphagia (the dysphagia group) were enrolled. Participants swallowed 5 mL of liquid and water with an adjusted viscosity and the movements of the hyoid bone and larynx were visualized by ultrasonography. The results obtained revealed significant differences in laryngeal duration (static phase), laryngeal displacement (elevation phase), and the hyoid bone–laryngeal motion ratio (HL motion ratio) between the two groups. A multiple regression analysis was performed to adjust for confounding factors, and laryngeal duration (static phase) and the HL motion ratios were identified as factors affecting dysphagia. In the receiver operation characteristic curve of the two variations, the area under the curve for laryngeal duration (static phase) was 0.744 and the cut-off was 0.26 sec with 72.2% sensitivity and 88.9% specificity; the area under the curve for the HL motion ratio was 0.951 and the cut-off was 0.56 with 88.9% sensitivity and 88.9% specificity. Therefore, the objective evaluation of hyoid bone and larynx movements during swallowing by ultrasonography facilitated the detection of neurogenic oropharyngeal dysphagia.

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Section: Discussionmentioning

confidence: 99%

Detection of poststroke oropharyngeal dysphagia with swallowing screening by ultrasonography

Matsuo

Matsuyama

2021

PLoS ONE

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“…환에서의 연하장애 유병률에 대한 연구는 부족하고 주로 증례보고가 대부분이지만[6][7][8][9], 연하와 관련 있는 신경 및 근육 등의 해부학적 손상이 있을 경우 연하장애가 발생할 수 있음 을 추정할 수 있다. 구인두 연하장애의 치료는 크게 보존적 치료와 침습적 치료 로 나눌 수 있다.…”

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Behavioral Interventions in Otolaryngologic Diseases With Oropharyngeal Dysphagia: A Narrative Review

Ko¹

2023

J Korean Soc Laryngol Phoniatr Logop

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Dysphagia is a common symptom in otolaryngologic diseases. For the treatment of oropharyngeal dysphagia, conservative treatment is primarily considered, including behavioral Interventions, modified diet, and facilitation. Behavioral interventions include posture change, swallowing maneuvers, and excise. If a patient is diagnosed with dysphagia caused by oropharyngeal motor dysfunction, behavioral interventions should be actively considered. When applying treatment, it is necessary to apply the treatment tailored to each patient based on the biomechanics of dysphagia through diagnostic evaluations rather than uniform behavioral interventions depending on the disease.

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Spontaneous retropharyngeal abscess presenting as delirium in a frail older woman: a case-based review

Mehmed,

Walters,

Keys

et al. 2024

Hospital Practice

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Dysphagia due to massive retropharyngeal and pre-vertebral abscess

Cited by 4 publications

References 0 publications

Detection of poststroke oropharyngeal dysphagia with swallowing screening by ultrasonography

Detection of poststroke oropharyngeal dysphagia with swallowing screening by ultrasonography

Behavioral Interventions in Otolaryngologic Diseases With Oropharyngeal Dysphagia: A Narrative Review

Spontaneous retropharyngeal abscess presenting as delirium in a frail older woman: a case-based review

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