Document Detail

The influence of tracheotomy tubes on the swallowing frequency in neurogenic dysphagia.
MedLine Citation:
PMID:  15746866     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To compare the swallowing frequency in patients with neurogenic dysphagia with or without tracheotomy tubes (TT) to assess the underlying mechanisms of dysphagia to improve rehabilitation strategies. STUDY DESIGN AND SETTING: Prospective study, 10 patients (64 +/- 7 years) with neurogenic dysphagia. Glasgow Coma Scale (GCS) less than 8 points, tracheotomy due to the dysphagia 2 weeks before the examination. The swallowing frequency (1 or less over 5 min) was assessed over 5 consecutive days with or without TT. RESULTS: The swallowing frequency increased after removal of the TT. These findings did not influence the GCS or the Coma Remission Scale. Over a 5-day period, the frequency of swallowing was increased. CONCLUSION: TTs decisively influence the swallowing behavior of vegetative patients. This phenomenon could be based on an improved sensitivity under re-established physiological expiration. We strongly favor removing the TT or deflating the cuff of the TT under therapeutic conditions in a rehabilitation therapy setting.
Rainer O Seidl; Ricki Nusser-Müller-Busch; Arne Ernst
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  132     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-03-04     Completed Date:  2005-04-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  484-6     Citation Subset:  IM    
Department of Otolaryngology at UKB, Free University of Berlin, Berlin, Germany. ROSeidle@UKB.DE
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MeSH Terms
Deglutition Disorders / etiology,  physiopathology*
Intubation, Intratracheal / instrumentation*
Middle Aged
Prospective Studies
Time Factors
Tracheotomy / instrumentation*

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