scholarly journals Swallowing disorders during and after the treatment of larynx cancer

2021 ◽  
Vol 55 (1) ◽  
pp. 33-39
Author(s):  
Mirna Zelić ◽  
Mirjana Petrović-Lazić ◽  
Dragan Pavlović
Keyword(s):  
Laryngeal Cancer ◽  
Swallowing Disorders ◽  
Larynx Cancer ◽  
Common Symptom ◽  
Swallowing Disorder ◽  
Anatomical Structures ◽  
Feeding Difficulties ◽  
Swallowing Therapy ◽  
Positive Treatment ◽  
Dysphagia Treatment

Dysphagia is a swallowing disorder that is characterized by difficulty to swallow and to control saliva as well as by feeding difficulties. Dysphagia is a common symptom of laryngeal cancer, or a consequence of surgical treatment as well as radiotherapy and chemotherapy of this neoplasma. The patients after laryngectomy are at risk of developing malnutrition, and aspiration pneumonia. Removal of anatomical structures and reorganization of remaining tissues has a significant impact on the physiology of swallowing. For most patients, safe swallowing is the main feature of a positive treatment outcome. Swallowing therapy is important before, during and after treatment of larynx cancer. The aim of this paper is to explore a correlation between swallowing disorders and laryngeal cancer treatment, and to understand the anatomical and physiological bases of dysphagia treatment.

scholarly journals Automated Detection and Evaluation of Swallowing Using a Combined EMG/Bioimpedance Measurement System

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Corinna Schultheiss ◽  
Thomas Schauer ◽  
Holger Nahrstaedt ◽  
Rainer O. Seidl
Keyword(s):  
Measurement System ◽  
Healthy Subjects ◽  
Measurement Procedure ◽  
Automated Detection ◽  
Swallowing Disorders ◽  
Head Movements ◽  
Swallowing Disorder ◽  
Two Stage ◽  
Bioimpedance Measurement ◽  
Control Study

Introduction. Developing an automated diagnostic and therapeutic instrument for treating swallowing disorders requires procedures able to reliably detect and evaluate a swallow. We tested a two-stage detection procedure based on a combined electromyography/bioimpedance (EMBI) measurement system. EMBI is able to detect swallows and distinguish them from similar movements in healthy test subjects.Study Design. The study was planned and conducted as a case-control study (EA 1/019/10, and EA1/160/09, EA1/161/09).Method. The study looked at differences in swallowing parameters in general and in the event of penetration during swallows in healthy subjects and in patients with an oropharyngeal swallowing disorder. A two-stage automated swallow detection procedure which used electromyography (EMG) and bioimpedance (BI) to reliably detect swallows was developed.Results. Statistically significant differences between healthy subjects and patients with a swallowing disorder were found in swallowing parameters previously used to distinguish between swallowing and head movements. Our two-stage algorithm was able to reliably detect swallows (sensitivity = 96.1%, specificity = 97.1%) on the basis of these differences.Discussion. Using a two-stage detection procedure, the EMBI measurement procedure is able to detect and evaluate swallows automatically and reliably. The two procedures (EMBI + swallow detection) could in future form the basis for automated diagnosis and treatment (stimulation) of swallowing disorders.

Therapy for Children With Swallowing Disorders in the Educational Setting

2000 ◽  
Vol 31 (1) ◽  
pp. 50-55 ◽  
Author(s):  
Jeri A. Logemann
Keyword(s):  
Public Schools ◽  
Swallowing Disorders ◽  
Educational Setting ◽  
Exercise Programs ◽  
The Public ◽  
Swallowing Therapy ◽  
Postural Changes ◽  
Feeding Process ◽  
Relationship Of ◽  
The Relationship

Many children of all ages with swallowing disorders now receive at least part of their swallowing therapy in the public schools. This article presents the various types of swallowing therapy available, including postural changes, sensory enhancements, changes in feeding processes, and exercise programs. Other therapy issues discussed include the relationship of the feeding process to swallowing therapy, the schedule of therapy, and maintenance programs as compared to therapy. Clinicians are also provided with a number of references for additional reading on therapy procedures.

scholarly journals Soliter fibrous tumor of diaphragm in a patient with larynx cancer: Case report

2021 ◽  
Vol 5 (1) ◽  
pp. 001-003
Author(s):  
Arabaci Bengisu ◽  
Ceylan Kenan Can ◽  
Ermete Sulun ◽  
Kilic Devrim ◽  
Kaya Seyda Ors
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Laryngeal Cancer ◽  
Solitary Fibrous Tumor ◽  
Large Volume ◽  
Surgical Excision ◽  
Larynx Cancer ◽  
Cancer Case ◽  
Solitary Fibrous Tumors ◽  
Fibrous Tumor

Introduction: Solitary fibrous tumor is a neoplasm of mesenchymal origin with benign and malignant forms. We aimed to present a case of solitary fibrous tumor which developed in a patient operated for laryngeal cancer and originated from diaphragm in the light of the literature. Case report: A 61-year-old male patient with tracheostomy with an undiagnosed lesion that appears to be almost 10 cm was referred to our clinic. Since it was a large volume mass, we chose to perform a thoracotomy over thorachoscopic approach. Discussion: Although solitary fibrous tumors most commonly occur in the pleura but may also originated from diaphragm, and our case is valuable that originates from diaphragmatic since there are less than 5 reported cases in literature for past two decades. Conclusion: Even in the case of recurrence, the main treatment remains as total surgical excision. Solitary fibrous tumors are usually detected because of compression symptoms. That is the main reason why we chose thoracotomy.

scholarly journals Development and Predictors of Sarcopenic Dysphagia during Hospitalization of Older Adults

Nutrients ◽  
2019 ◽  
Vol 12 (1) ◽  
pp. 70 ◽  
Author(s):  
Keisuke Maeda ◽  
Yuria Ishida ◽  
Tomoyuki Nonogaki ◽  
Akio Shimizu ◽  
Yosuke Yamanaka ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Performance Status ◽  
Swallowing Disorders ◽  
Physical Status ◽  
Swallowing Disorder ◽  
Contributing Factors ◽  
Hand Grip ◽  
Food Texture ◽  
Sarcopenic Dysphagia ◽  
The Impact

The study aimed to investigate the impact of sarcopenia and sarcopenia-related conditions on the development of swallowing disorders during hospitalization. Older adult inpatients (n = 8768) without swallowing disorders in the premorbid period were studied. Sarcopenia-related conditions were evaluated in terms of nutritional status, physical status, and ambulatory conditions as well as hand-grip strength and muscle mass assessed by calf circumference. Development of swallowing disorders was defined based on food texture at discharge from the hospital. The patients’ mean age was 76.1 ± 6.9 years. A total of 374 (4.3%) patients developed swallowing disorders during hospitalization. They were older, with poorer nutritional status, and had more decline of physical performance than those without swallowing disorders. Performance Status score (odds ratio (OR) = 1.28 (1.12–1.46) p < 0.001), ambulatory dependency (OR = 1.72 (1.09–2.71), p = 0.020), malnutrition score (OR = 0.92 (0.87–0.97), p = 0.002), insufficient nutritional intake (OR = 2.33 (1.60–3.40), p < 0.001), and length of stay (OR = 1.01 (1.00–1.01), p = 0.001) were independent contributing factors for swallowing disorder development in the multivariate analysis. The presence of possible sarcopenia was also a contributor to swallowing disorder development. In conclusion, swallowing disorders could develop in patients with possible sarcopenia and sarcopenia-related conditions during hospitalization. Clinicians should be aware of this risk and provide appropriate interventions to prevent sarcopenic dysphagia.

scholarly journals The Relationship of Ankyloglossia With Gender in Children and the Ideal Timing of Surgery in Ankyloglossia

2019 ◽  
pp. 014556131986766 ◽  
Author(s):  
Nurdoğan Ata ◽  
Necat Alataş ◽  
Esra Yılmaz ◽  
Ayşe Bülbül Adam ◽  
Bahri Gezgin
Keyword(s):  
Pediatric Patients ◽  
Turkish Population ◽  
Timing Of Surgery ◽  
Common Symptom ◽  
Safe Procedure ◽  
Feeding Difficulties ◽  
Congenital Condition ◽  
Relationship Of ◽  
The Relationship ◽  
Tongue Mobility

Introduction: Ankyloglossia is a congenital condition that restricts tongue mobility. The aim of this study is to evaluate the relationship between gender and pediatric ankyloglossia and evaluate the planning of ideal timing of surgery. Methods: The files of pediatric patients in the Turkish population treated surgically for tongue-tie between June 2014 to June 2018 were scanned retrospectively. Results: Three hundred and eighty-two pediatric patients were included in the study. Of these, 115 (30.1%) were female and 267 (69.9%) were male. The prevalence of ankyloglossia was significantly higher in males than in females ( P < .001). The age of the patients at time of surgery ranged from 1 day to 114 months. The most common indication was sucking/feeding difficulties (82%) in patients younger than 2 years, and the most common symptom was speech problems (67%) in patients aged 2 years and older. Conclusion: In our study, the prevalence of ankyloglossia in Turkish society was significantly higher in males. Frenectomy surgery is a safe procedure that can be performed on the first day of life in newborns.

scholarly journals Comparisons of Temporal Characteristics of Respiration and Swallowing Coordination between Young and Elderly

2021 ◽  
Vol 26 (3) ◽  
pp. 641-658
Author(s):  
Haeni Seo ◽  
Seong Hee Choi ◽  
Kyoungjae Lee ◽  
Chul-Hee Choi
Keyword(s):  
Elderly Person ◽  
The Elderly ◽  
Surface Emg ◽  
Swallowing Disorders ◽  
Swallowing Disorder ◽  
Self Assessment ◽  
Apnea Duration ◽  
Long Time ◽  
Dysphagia Handicap Index ◽  
Swallowing Apnea

Objectives: The relationship between breathing and swallowing is very dynamic during swallowing and these are highly temporally coordinated to protect the airway. The ability to protect airways during swallowing deteriorates with aging. In this study, we attempted to compare the breathing-swallowing pattern and temporal change in the respiration and swallowing coordination between young and elderly adults in Korea.Methods: A total of 80 normal people, including 40 young and 40 elderly people participated in this study. For measurement of breathing and swallowing coordination, Digital Swallowing Workstation<sup>TM</sup> was used during a 5 mL water swallowing task. Temporal parameters related to breathing-swallowing including AS (acoustic start), AP (acoustic peak), AD (acoustic duration), SAS (swallowing apnea or respiration pause start), SAD (swallowing apena duration), sES (submental sEMG start), sEP (submental sEMG peak), sED (submental sEMG duration). Additionally, DHI (Dysphagia Handicap Index) was evaluated for self-assessment of the degree of difficulty swallowing.Results: Older adults displayed delayed swallowing-related acoustic signal measurements, swallowing apnea measurements, surface EMG measurements, and delayed sequential coordination time of swallowing-related structures during swallowing. There were no significant differences according to gender. Furthermore, a significant positive correlation was observed between the total K-DHI scores and as well as swallowing apnea duration in the elderly.Conclusion: In the older population, the different breathing-swallowing pattern from that of young adults may increase the risk of dysphagia. In addition, swallowing delays due to aging can be an indicator of elderly swallowing disorders. Moreover, an increase in apnea time during swallowing may be a phenomenon that appears as a mechanism for airway protection in the elderly. However, the high correlation between apnea time and K-DHI score in the elderly may make it difficult to maintain respiration for a long time during swallowing as the respiratory function decreases due to aging, which may increase the risk of experiencing symptoms such as choking and affect the degree of subjective swallowing disorder. This suggests that even if classified as a normal elderly person without a pathological swallowing disorder, swallowing training is needed to prevent swallowing disorders and to enhance swallowing ability for older people with degraded swallowing-related abilities.

The effects of different frequencies of repetitive transcranial magnetic stimulation (rTMS) on patients with swallowing disorders after cerebral infarction

2021 ◽  
pp. 1-8
Author(s):  
Yupeng Du ◽  
Li Wei ◽  
Ying Lu ◽  
Hong Gao
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Cerebral Infarction ◽  
Magnetic Stimulation ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Swallowing Disorders ◽  
Control Group ◽  
Swallowing Disorder ◽  
Before And After ◽  
Swallow Study ◽  
Video Fluoroscopic Swallow Study

BACKGROUND: Swallowing disorders represent one of the most common complications after cerebral infarction. OBJECTIVE: To study the effects of different frequencies of repetitive transcranial magnetic stimulation (rTMS) on swallowing disorders after cerebral infarction. METHODS: Ninety patients with swallowing disorder after cerebral infarction were enrolled and randomly assigned to three groups: the 10 Hz frequency rTMS group (30 patients), the 5 Hz frequency rTMS group (30 patients), and the 1 Hz frequency rTMS group (30 patients); another 90 healthy persons without swallowing disorders were included as the control group. The Kubota’s water-swallow test, the video fluoroscopic swallow study (VFSS), and the Electroencephalograph (EEG) were analyzed before and after treatment; the EEG of the control group was detected as the baseline. RESULTS: The Kubota’s water-swallow test scores were significantly decreased while the scores of pharynx period and the aspiration degree of VFSS significantly increased in 10 Hz frequency rTMS group than before treatment (P≤0.05); the amplitudes of C3 of the EEG significantly increased in three frequency groups than before treatment (P≤0.05). CONCLUSIONS: 10 Hz frequency of rTMS is effective for the treatment of swallowing disorder after cerebral infarction, the excitement of C3 area maybe the therapeutic target of rTMS on swallowing disorder after cerebral infarction.

Classification models based on the level of metals in hair and nails of laryngeal cancer patients: diagnosis support or rather speculation?

Metallomics ◽  
2015 ◽  
Vol 7 (3) ◽  
pp. 455-465 ◽  
Author(s):  
Magdalena Golasik ◽  
Wojciech Jawień ◽  
Agnieszka Przybyłowicz ◽  
Witold Szyfter ◽  
Małgorzata Herman ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Laryngeal Cancer ◽  
Prediction Models ◽  
Larynx Cancer ◽  
Classification Models ◽  
Cancer Prediction

Several larynx cancer prediction models were built and each was weighted according to their performance.

Epidemiology of Swallowing Disorders in Rheumatoid Arthritis: Prevalence, Risk Factors, and Quality of Life Burden

2018 ◽  
Vol 127 (9) ◽  
pp. 577-587 ◽  
Author(s):  
Nelson Roy ◽  
Kristine M. Tanner ◽  
Ray M. Merrill ◽  
Charisse Wright ◽  
Jenny L. Pierce ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Risk Factors ◽  
Disease Severity ◽  
Daily Basis ◽  
Swallowing Disorders ◽  
Voice Disorder ◽  
Swallowing Disorder ◽  
A Current

Objective: This investigation examined the prevalence, symptoms, risk factors, and quality-of-life burden of swallowing disorders in rheumatoid arthritis (RA), a chronic, progressive autoimmune inflammatory disease. Methods: One hundred individuals with RA (84 women, 16 men; mean age = 61.1 years, SD = 13.1) were interviewed regarding the presence, nature, and impact of swallowing symptoms and disorders. Associations between swallowing disorders, medical factors, RA disease severity, and quality of life were examined. Results: Forty-one percent of participants reported a current swallowing disorder that began gradually and was longstanding (most experiencing symptoms on a daily basis for at least 4 years). Symptoms compatible with solid food dysphagia contributed disproportionately to reporting a current swallowing disorder. Risk factors for dysphagia included a self-reported voice disorder, thyroid problems, esophageal reflux, and being physically inactive. Swallowing disorders increased with self-reported RA disease severity and contributed to a significantly greater burden on overall quality of life. Conclusion: Chronic, longstanding swallowing disorders are common in individuals with RA and appear to increase with disease severity. Those individuals with dysphagia reported greater reductions in quality of life as compared to those without, highlighting the need for improved awareness, exploration, and management of swallowing disorders in this population.

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