근위축성 축삭 경화증 환자에서의 비디오 투시검사를 통한 연하 분석

박영학; 송창은; 남인철; 조정해; 임동재; 조승호

추천

검색

자료유형: 학술저널

저자정보: 박영학 송창은 남인철 조정해 임동재 조승호

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제51권 제2호

발행연도: 2008.1

수록면: 157 - 162 (6page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Dysphagia in patient with amyotrophic lateral sclerosis (ALS) is a critical symptom for prognosis. Proper evaluation and follow-up of their dysphagia is also important in management. Videofluoroscope is the gold standard method for evaluation of swallowing in ALS patients. The object of this study is to evaluate their dysphagia using videofluoroscope, on the basis of which we can plan the optimal rehabilitation method. Subjects and Method：The clinical records and videofluoroscopes of 7 ALS patients were reviewed. All patients were classified according to Hillel’s ALS swallowing score. We analysed their videofluoroscopes and implied proper treatment strategies on the basis of those findings. Results：All patients had dysfunction of tongue. In the early stage, dysphagia was solely attributable to oral phase dysfunction. In the advanced stage, pharyngeal phase was also affected. In some patients, cricopharyngeal dysphagia and aspiration were observed. After various form of treatment such as tongue exercise, position change, swallowing maneuver, tube feeding, and botulinum toxin injection to cricopharyngeal muscle, we could observe improvement in swallowing function. Conclusion：Videofluoroscope is a good method for evaluating patients with ALS. By applying tailored treatment strategies on the basis of videofluoroscopic finding, we can properly manage patients with ALS and eventually improve their quality of life. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:157-62)

#Amyotrophic lateral sclerosis·Dysphagia.

참고문헌 (13)

참고문헌 신청

Ertekin C / 1998 / Electrodiagnostic methods for neurogenic dysphagia / Electroencephalogr Clin Neurophysiol 109 (4) : 321 ~ 340

Higo R / 2002 / Videomanofluoro-metric study in amyotrophic lateral sclerosis / Laryngoscope 112 (5) : 911 ~ 917

Hillel AD / 1989 / Amyotrophic lateral sclerosis severity scale / Neuroepidemiology 8 (3) : 142 ~ 150

Kawai S / 2003 / A study of the early stage of Dysphagia in amyotrophic lateral sclerosis / Dysphagia 18 (1) : 1 ~ 8

Lindeman RC / 1975 / Diverting the paralyzed larynx: A reversible procedure for intractable aspiration / Laryngoscope 85 (1) : 157 ~ 180

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!

이 논문의 저자 정보

박영학

소속기관 Department of Otorhinolaryngology-Head and Neck Surgery, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Ko