Document Detail


Videofluoroscopic evaluation of mastication and swallowing in individuals with TMD.
MedLine Citation:
PMID:  22936132     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
To study mastication and swallowing disorders in patients with temporomandibular disorders (TMD). OBJECTIVE: To investigate mastication and swallowing disorders in patients with severe TMD referred to surgery. MATERIALS AND METHODS: Clinical and experimental study involving ten individuals with TMD submitted to deglutition videofluoroscopy. These patients did not have posterior teeth, mastication pain and food replacement in favor of pasty consistence food. The assessment of the oral and pharyngeal phases approached the following aspects: side of onset and preferential side for chewing, premature escape, remains of food residues in the oral cavity or in the pharyngeal recesses, number of necessary swallowing efforts, laryngeal penetration and/or tracheal aspiration. RESULTS: During mastication and the oral phase we observed tongue compensatory movements upon chewing (n = 7; 70%), premature escape (n = 4; 40%), food remains in the cavity after swallowing (n = 5; 50%) and an excessive number of deglutition efforts (n = 5; 50%). On the pharyngeal phase we observed food remains in the valleculae (n = 6; 60%), in the pyriform sinuses (n = 4; 40%); laryngeal penetration (n = 1; 10%) and tracheal aspiration (n = 4; 40%). CONCLUSION: TMD patients may have alterations in their chewing and swallowing patterns, with laryngeal penetration and/or tracheal aspiration. The study indicates the need for a multidisciplinary assessment because of dysphagia in TMD patients.
Authors:
Carla Maffei; Marçal Motta de Mello; Noemi Grigoletto de Biase; Lilian Pasetti; Paulo A Monteiro Camargo; Kelly Cristina Alves Silvério; Maria Inês Rebelo Gonçalves
Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Brazilian journal of otorhinolaryngology     Volume:  78     ISSN:  1808-8686     ISO Abbreviation:  Braz J Otorhinolaryngol     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101207337     Medline TA:  Braz J Otorhinolaryngol     Country:  -    
Other Details:
Languages:  ENG; POR     Pagination:  24-28     Citation Subset:  -    
Affiliation:
Serviço de Motilidade Digestiva, Hospital da Cruz Vermelha.
Vernacular Title:
Avaliação videofluoroscópica da mastigação e deglutição em indivíduos com disfunção temporomandibular (DTM).
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